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Ms. Jacqueline Smith
Substance Abuse Rehabilitation Facility in Roxbury, Massachusetts
NPI 1255710851

Jacqueline Smith is a Substance Abuse Rehabilitation Facility based in Roxbury, MA. Jacqueline Smith practices in Roxbury, MA. The NPI Number for Jacqueline Smith is 1255710851 and holds a License No. (Massachusetts).

The current practice location address for Jacqueline Smith is 40 Dimock Services, Roxbury, MA and can be reached out via phone at 617-442-8800 and via fax at 617-442-6268.

Location: 40 Dimock Services, Roxbury, MA, 02119-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255710851
Provider Name
Jacqueline Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
40 Dimock Services, Roxbury, MA, 02119-0000
Phone Number
617-442-8800
Fax Number
617-442-6268
Provider Enumeration Date
05/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Dimock Services
City
Roxbury
State
Massachusetts
Zip
02119-0000
Phone Number
617-442-8800
Fax Number
617-442-6268
person
Provider Business Mailing Address Details
Address
40 Dimock Services
City
Roxbury
State
Massachusetts
Zip
02119-0000
Phone Number
617-442-8800
Fax Number
617-442-6268
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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