National Provider Identifier Database

DIMOCK COMMUNITY SERVICES CORP
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

DIMOCK COMMUNITY SERVICES CORP
10 FORT AVE
ROXBURY, MA02119-1433
Phone: 617-442-6778
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for DIMOCK COMMUNITY SERVICES CORP

NPI Number 1396890240
Legal business name
LBN
DIMOCK COMMUNITY SERVICES CORP
Authorized official DAVID WHITHAM - (DIRECTOR IT & AR)
Entity Organization
Organization subpart No
Enumeration date 01/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 1887980

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DIMOCK COMMUNITY SERVICES CORP

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