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South Shore Mental Health, Inc.
Developmental Disabilities Clinic/Center in Squantum, Massachusetts
NPI 1639572779

South Shore Mental Health, Inc. is a Developmental Disabilities Clinic/Center based in Quincy, MA and is specialized in Developmental Disabilities. South Shore Mental Health, Inc. practices in Squantum, MA. The NPI Number for South Shore Mental Health, Inc. is 1639572779 and holds a License No. 459 (Massachusetts).

The current practice location address for South Shore Mental Health, Inc. is 2 Moon Island Rd, Squantum, MA and can be reached out via phone at 617-847-1950 and via fax at 617-786-9894.

Location: 2 Moon Island Rd, Squantum, MA, 02171-3139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639572779
Provider Name
South Shore Mental Health, Inc.
Credential
Provider Entity Type
Organization
Address
2 Moon Island Rd, Squantum, MA, 02171-3139
Phone Number
617-847-1950
Fax Number
617-786-9894
Provider Enumeration Date
10/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EI0013 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2 Moon Island Rd
City
Squantum
State
Massachusetts
Zip
02171-1034
Phone Number
617-847-1950
Fax Number
617-786-9894
person
Provider Business Mailing Address Details
Address
2 Moon Island Rd
City
Squantum
State
Massachusetts
Zip
02171-1034
Phone Number
617-847-1950
Fax Number
617-786-9894
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
459 (Massachusetts)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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