Organization
JEWISH FAMILY & CHILDREN'S SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY L. PROBST (MANAGER OF BILLING & REIMBURSEMENT)
(781) 693-5582
Entity
Organization
Contact information
Practice address
18 SHEPARD ST STE 280, BRIGHTON, MA 02135-3416
(617) 224-4127
Mailing address
1430 MAIN ST, WALTHAM, MA 02451-1623
(781) 647-5327
(781) 693-5581
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1903713
—
MA
Enumeration date
09/28/2018
Last updated
09/28/2018
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