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BOSTON ALCOHOL AND SUBSTANCE ABUSE PROGRAM NPI 1346329463


NPI Information

NPI: 1346329463
Provider Name: BOSTON ALCOHOL AND SUBSTANCE ABUSE PROGRAM
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
30 WINTER ST
3RD FLOOR
BOSTON, MA
ZIP 02108
Phone: (617) 482-5292
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BOSTON ALCOHOL AND SUBSTANCE ABUSE PROGRAM is a rehabilitation and substance use disorder clinic center in Boston, MA. BOSTON ALCOHOL AND SUBSTANCE ABUSE PROGRAM NPI is 1346329463. The provider is registered as an organization entity type.

The provider's business location address is:

30 WINTER ST
3RD FLOOR
BOSTON, MA
ZIP 02108-720
Phone: (617) 482-5292
Fax: (617) 482-5232

The provider's authorized official is Thomas J Delaney .
The authorized official title is Executive Director and has the following contact phone number (617) 482-5292.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder0585MASSACHUSETTSYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11312626OTHERMASSACHUSETTSMASSHEALTH
22223020540OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
31013160OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN

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: 4/28/2024

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