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Ms. Angela Marie Fonseca, LADCICAS
Substance Abuse Rehabilitation Facility in Dorchester Center, Massachusetts
NPI 1750668539

Angela Marie Fonseca is a Substance Abuse Rehabilitation Facility based in Halifax, MA. Angela Marie Fonseca practices in Dorchester Center, MA and has the professional credentials of LADCICAS. The NPI Number for Angela Marie Fonseca is 1750668539 and holds a License No. (Massachusetts).

The current practice location address for Angela Marie Fonseca is 62 Waldeck St, Dorchester Center, MA and can be reached out via phone at 617-265-2636.

Location: 62 Waldeck St, Dorchester Center, MA, 02338-2229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750668539
Provider Name
Angela Marie Fonseca
Credential
LADCICAS
Provider Entity Type
Individual
Gender
Female
Address
62 Waldeck St, Dorchester Center, MA, 02338-2229
Phone Number
617-265-2636
Fax Number
Provider Enumeration Date
11/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
62 Waldeck St
City
Dorchester Center
State
Massachusetts
Zip
02124-1329
Phone Number
617-265-2636
Fax Number
person
Provider Business Mailing Address Details
Address
62 Waldeck St
City
Dorchester Center
State
Massachusetts
Zip
02124-1329
Phone Number
617-265-2636
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Massachusetts)
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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