NPI 1295855856
Commonwealth of Massachusetts-Dmh
Practice location
- Address
- 460 Quincy Ave, Quincy, MA 02169-8130
- Phone
- (617) 626-9018
Authorised official
- Name
- Sharon Cole
- Title
- Site Director
- Phone
- (617) 626-9023
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1295855856
- Entity type
- Organization
- NPI issued
- 29 Mar 2007
- Record last updated
- 27 Aug 2007
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.