Organization · Type 2 NPI

Department of Mental Health

Mental Illness Community Based Residential Treatment Facility · Boston, MA

NPI number 1083732168 Active

Practice location

Boston University - Fuller Irtp, 85 E Newton St Fl 6
Boston, MA 02118-2340

Fax (617) 414-2101

Mailing address

25 Staniford St
Boston, MA 02114-2503

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

About NPI 1083732168

Department of Mental Health's National Provider Identifier is 1083732168, issued on Mar 27, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Boston, MA. The record was last updated on Aug 22, 2020.