NPI 1083732168

Department of Mental Health

Organisation Mental Illness Community Based Residential Treatment Facility Boston, MA

Practice location

Address: Boston University - Fuller Irtp 85 E Newton St Fl 6, Boston, MA 02118-2340
Phone: (617) 414-2005
Fax: (617) 414-2101
Mailing address: 25 Staniford St, Boston, MA 02114-2503

Authorised official

Name: Paul Scopa
Title: Asst Director of Non-Inst Reimburse
Phone: (617) 886-8089

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Massachusetts →

Registry record

NPI: 1083732168
Entity type: Organization
NPI issued: 27 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.