Organization
DIMOCK COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH SARAH REID L.C.S.W. (PSCHIATRIC TRIAGE COORDINTOR)
(617) 442-8800
Entity
Organization
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
62 WYMAN STREET, JAMAICA PLAIN, MA 02130
(617) 435-0999
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
043487833
MA
261QM0850X
Adult Mental Health Clinic/Center
1326193269
MA
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043487833
—
MA
Enumeration date
05/19/2010
Last updated
07/21/2022
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