PINESTREET INN NPI 1184981284

NPI Information

NPI: 1184981284
Provider Name: PINESTREET INN
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
170 MORTON ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 892-9451
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PINESTREET INN is an addiction (substance use disorder) counselor in Jamaica Plain, MA. PINESTREET INN NPI is 1184981284. The provider is registered as an organization entity type.

The provider's business location address is:

170 MORTON ST
JAMAICA PLAIN, MA
ZIP 02130-735
Phone: (617) 892-9451
Fax: (617) 521-7261

The provider's authorized official is Lyndia Downey .
The authorized official title is Executive Director and has the following contact phone number (617) 892-9105.

The enumeration date for this NPI number is 4/13/2012 and was last updated on 5/17/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0817	MASSACHUSETTS	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)		MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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