Organization
CHILDREN SERVICES OF ROXBURY
Active
Other names
Children services of Roxbury, Children Services of Roxbury
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE HARRIS (FAMILY PARTNER)
(617) 412-5292
Entity
Organization
Contact information
Practice address
520 DUDLEY ST, BOSTON, MA 02119-2769
(617) 445-6655
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124253794
CHILDREN SERVICES OF ROXBURY
MA
Enumeration date
05/14/2019
Last updated
05/14/2019
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