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
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