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Academic & Behavioral Clinic

Community/Behavioral Health in Dorchester Center, MA. Organization (NPI-2).

NPI number1265645261
StatusActive
Last updated in NPPESFeb 16, 2012

Details

NPI
1265645261
Entity type
Organization (NPI-2)
Legal business name
Academic & Behavioral Clinic
Organization subpart
No
Enumeration date
May 7, 2007
Last updated
Feb 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health4D1RMAYes

Practice location

995 Blue Hill Ave
Dorchester Center, MA 02124-2828

Phone 617-822-0829 · Fax 617-825-7804

Mailing address

Po Box 190789
Boston, MA 02119-0015

Phone 617-822-0829 · Fax 617-825-7804

Authorized official

Terri Betts
Executive Director
6178220829

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