MASSACHUSETTS MENTAL HEALTH CENTER NPI 1790836799

NPI Information

MASSACHUSETTS MENTAL HEALTH CENTER is a psychiatric hospital in Jamaica Plain, MA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. MASSACHUSETTS MENTAL HEALTH CENTER NPI is 1790836799. The provider is registered as an organization entity type.

The provider's business location address is:

180 MORTON ST
JAMAICA PLAIN, MA
ZIP 02130-735
Phone: (617) 626-9587
Fax: (617) 626-9578

The provider's authorized official is Juan Raul Condemarin .
The authorized official title is Psychiatrist and has the following contact phone number (617) 626-9587.

The CLIA number assigned to this NPI record is 22D0650270 - public health laboratories with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 11/7/2007.

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

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