Provider Demographics
NPI:1619287554
Name:REFUGEE AND IMMIGRANT ASSISTANCE CENTER INC
Entity Type:Organization
Organization Name:REFUGEE AND IMMIGRANT ASSISTANCE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATION
Authorized Official - Prefix:
Authorized Official - First Name:ANAB
Authorized Official - Middle Name:
Authorized Official - Last Name:EGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-238-2432
Mailing Address - Street 1:253 ROXBURY STREET
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119
Mailing Address - Country:US
Mailing Address - Phone:617-238-2430
Mailing Address - Fax:617-238-7143
Practice Address - Street 1:253 ROXBURY STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02119
Practice Address - Country:US
Practice Address - Phone:617-238-2430
Practice Address - Fax:617-238-7143
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REFUGEE AND IMMIGRANT ASSISTANCE CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-13
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3299103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty