IndividualActive
Angela Fonseca, LADCI CAS
NPI 1750668539 · Substance Abuse Rehabilitation Facility · Dorchester Center, MA
Provider details
- NPI number
- 1750668539
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- LADCI CAS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
62 Waldeck St
Dorchester Center, MA 02124-1329
Phone: (617) 265-2636
Approximate (ZIP-level) locationGet directions
Mailing address
618 Twin Lakes Dr
Halifax, MA 02338-2229
Registry dates
- Enumerated
- 2011-11-08
- Last updated
- 2011-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.