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Organization

ABAC

Active
Parent organization
PROGRAM SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROGRAM SERVICES
Authorized official
MATEUS BARBOSA (CLINICIAN)
(617) 650-8146
Entity
Organization

Contact information

Practice address
35 FOX ST, DORCHESTER, MA 02122
(617) 650-8146
Mailing address
35 FOX ST, DORCHESTER, MA 02122-1722

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
10/09/2009
Last updated
10/09/2009
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