Organization
ROXBURY MULTI-SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NENKERWON TROH (COMMUNITY SUPPORT PROVIDER)
(857) 919-9535
Entity
Organization
Contact information
Practice address
317 BLUE HILL AVE, DORCHESTER, MA 02121-4302
(617) 427-4470
Mailing address
317 BLUE HILL AVE, DORCHESTER, MA 02121-4302
(617) 427-4470
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S20630711
MA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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