Organization
FAMILY SERVICE ASSOCIATION OF GREATER BOSTON
Active
Other names
Family Service of Greater Boston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDAL D RUCKER MCP (CHIEF EXECUTIVE OFFICER)
(617) 523-6400
Entity
Organization
Contact information
Practice address
31 HEATH ST, JAMAICA PLAIN, MA 02130-1650
(617) 523-6400
(617) 523-3034
Mailing address
31 HEATH ST, JAMAICA PLAIN, MA 02130-1650
(617) 523-6400
(617) 523-3034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4599
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303414
—
MA
05
—
1309374
—
MA
05
—
1309404
—
MA
Enumeration date
03/30/2007
Last updated
12/29/2014
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