institution
Commonwealth Of Massachusetts
Mental Health Clinic/Center (Including Community Mental Health Center) in Boston, Massachusetts
NPI 1194840975

Commonwealth Of Massachusetts is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Boston, MA and is specialized in Mental Health (Including Community Mental Health Center). Commonwealth Of Massachusetts practices in Boston, MA. The NPI Number for Commonwealth Of Massachusetts is 1194840975 and holds a License No. (Massachusetts).

The current practice location address for Commonwealth Of Massachusetts is 75 Fenwood Rd, Boston, MA and can be reached out via phone at 617-626-9459. You can also correspond with Commonwealth Of Massachusetts through the mailing address at 75 FENWOOD RD, BOSTON, MA - 02115-6103 (mailing address contact number: 617-626-9459).

Location: 75 Fenwood Rd, Boston, MA, 02115-6103
institution
Provider Profile Details
NPI Number
1194840975
Provider Name
Commonwealth Of Massachusetts
Credential
Provider Entity Type
Organization
Address
75 Fenwood Rd, Boston, MA, 02115-6103
Phone Number
617-626-9459
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1310046 05 MA
institution
Provider Business Practice Location Address Details
Address
75 Fenwood Rd
City
State
Zip
02115-6103
Phone Number
617-626-9459
Fax Number
person
Provider Business Mailing Address Details
Address
75 Fenwood Rd
City
State
Zip
02115-6103
Phone Number
617-626-9459
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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