NPI: 1194840975
Provider Name: COMMONWEALTH OF MASSACHUSETTS
Doing Business As: DEPARTMENT OF MENTAL HEALTH - MASS MENTAL HEALTH CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
75 FENWOOD RD
BOSTON, MA
ZIP 02115
Phone: (617) 626-9459
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COMMONWEALTH OF MASSACHUSETTS is a mental health (including community mental health center) clinic center in Boston, MA. COMMONWEALTH OF MASSACHUSETTS NPI is 1194840975. The provider is registered as an organization entity type.
The provider Is Doing Business As Department Of Mental Health - Mass Mental Health Center.
The provider's business location address is:
75 FENWOOD RD
BOSTON, MA
ZIP 02115-103
Phone: (617) 626-9459
The provider's authorized official is Regina Marshall .
The authorized official title is Center Director and has the following contact phone number (617) 626-9459.
The enumeration date for this NPI number is 3/20/2007 and was last updated on 10/24/2014.