Individual provider · Type 1 NPI
Angela Marie Fonseca, LADCI CAS
Substance Abuse Rehabilitation Facility · Dorchester Center, MA
Practice location
62 Waldeck St
Dorchester Center, MA 02124-1329
Mailing address
618 Twin Lakes Dr
Halifax, MA 02338-2229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse 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.
Another provider at this address
About NPI 1750668539
Angela Marie Fonseca, LADCI CAS's National Provider Identifier is 1750668539, issued on Nov 8, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Dorchester Center, MA. The record was last updated on Nov 8, 2011.