Organization · Type 2 NPI

Commonwealth of Massachusetts

Community/Behavioral Health Agency · Boston, MA

NPI number 1659594802 Active

Practice location

40 Broad Street, 4th Floor
Boston, MA 02109

Fax (617) 626-7512

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1659594802

Commonwealth of Massachusetts's National Provider Identifier is 1659594802, issued on Apr 10, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Boston, MA. The record was last updated on Mar 10, 2026.