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MONTE NIDO MASSACHUSETTS LLC NPI 1831575091


NPI Information

NPI: 1831575091
Provider Name: MONTE NIDO MASSACHUSETTS, LLC

Doing Business As: EATING DISORDER CENTER OF BOSTON

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
419 BOYLSTON ST STE 501B
BOSTON, MA
ZIP 02116
Phone: (857) 233-9969
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MONTE NIDO MASSACHUSETTS, LLC is a mental health (including community mental health center) clinic center in Boston, MA. MONTE NIDO MASSACHUSETTS, LLC NPI is 1831575091. The provider is registered as an organization entity type.
The provider Is Doing Business As Eating Disorder Center Of Boston.

The provider's business location address is:

419 BOYLSTON ST STE 501B
BOSTON, MA
ZIP 02116-310
Phone: (857) 233-9969

The provider's authorized official is Mike Bagley .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 663-1876.

The enumeration date for this NPI number is 8/10/2015 and was last updated on 3/4/2020.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)41YTMASSACHUSETTSYes

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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