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Organization

THE FAMILY CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYL D VINES (EXECUTIVE DIRECTOR)
(617) 628-8815
Entity
Organization

Contact information

Practice address
366 SOMERVILLE AVE, SOMERVILLE, MA 02143-2919
(617) 628-8815
(617) 625-2351
Mailing address
366 SOMERVILLE AVE, SOMERVILLE, MA 02143-2919
(617) 628-8815
(617) 625-2351

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4390
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003580
NEIGHBORHOOD HLTH PLAN #
MA
01
1310984
MBHP/VALUE OPTIONS #
MA
05
1310984
MA
01
5035214
AETNA
MA
01
709660
TUFTS HLTH PLN PROVIDER #
MA
01
99612301
NEWTORK HLTH PROVIDER #
MA
01
M18526
BCBS OF MA PROVIDER #
MA
Enumeration date
05/15/2006
Last updated
08/22/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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