institution
The Commonwealth Of Massachusetts
Mental Health Clinic/Center (Including Community Mental Health Center) in Boston, Massachusetts
NPI 1568587913

The 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). The Commonwealth Of Massachusetts practices in Boston, MA. The NPI Number for The Commonwealth Of Massachusetts is 1568587913 and holds a License No. (Massachusetts).

The current practice location address for The Commonwealth Of Massachusetts is 20 Vining St, Boston, MA and can be reached out via phone at 617-626-9459.

Location: 20 Vining St, Boston, MA, 02115-6103
institution
Provider Profile Details
NPI Number
1568587913
Provider Name
The Commonwealth Of Massachusetts
Credential
Provider Entity Type
Organization
Address
20 Vining St, Boston, MA, 02115-6103
Phone Number
617-626-9459
Fax Number
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1310062 05 MA
1310046 05 MA
Y10406 01 MA MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
20 Vining St
City
State
Zip
02115-6115
Phone Number
617-626-9459
Fax Number
person
Provider Business Mailing Address Details
Address
20 Vining St
City
State
Zip
02115-6115
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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