EAST BOSTON NEIGHBORHOOD HEALTH CENTER NPI 1174701213

NPI Information

EAST BOSTON NEIGHBORHOOD HEALTH CENTER is a mental health (including community mental health center) clinic center in East Boston, MA. EAST BOSTON NEIGHBORHOOD HEALTH CENTER NPI is 1174701213. The provider is registered as an organization entity type.

The provider's business location address is:

10 GOVE ST
EAST BOSTON, MA
ZIP 02128-920
Phone: (617) 569-5800
Fax: (617) 568-4756

The provider's authorized official is Jackie S Fantes .
The authorized official title is Chief Medical Officer and has the following contact phone number (617) 568-4570.

The enumeration date for this NPI number is 1/31/2008 and was last updated on 12/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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