Organization
COMMONWEALTH MENTAL HEALTH & WELLNESS CENTER
Active
Parent organization
COMMONWEALTH MENTAL HEALTH & WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH MENTAL HEALTH & WELLNESS CENTER
Authorized official
MR. DAVID LEON AVERY LMHC (CHIEF EXECUTIVE OFFICER)
(617) 506-8188
Entity
Organization
Contact information
Practice address
895 BLUE HILL AVE STE 1, DORCHESTER, MA 02124-2902
(617) 506-8188
(617) 506-5039
Mailing address
895 BLUE HILL AVE STE 1, DORCHESTER, MA 02124-2902
(617) 506-8188
(617) 506-5039
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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