Organization · Type 2 NPI

Commonwealth of Massachusetts

Mental Health Clinic/Center (Including Community Mental Health Center) · Boston, MA

NPI number 1194840975 Active

Practice location

75 Fenwood Rd
Boston, MA 02115-6103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1194840975

Commonwealth of Massachusetts's National Provider Identifier is 1194840975, issued on Mar 20, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Boston, MA. The record was last updated on Oct 24, 2014.