Organization · Type 2 NPI
Pine Street Inn, Inc.
Physical Disabilities Residential Treatment Facility · Dorchester Center, MA
Practice location
28 Rockwell St
Dorchester Center, MA 02124-4438
Fax (617) 825-9020
Mailing address
444 Harrison Ave
Boston, MA 02118-2404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1639337280
Pine Street Inn, Inc.'s National Provider Identifier is 1639337280, issued on May 30, 2008. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Dorchester Center, MA. The record was last updated on May 30, 2008.