NPI 1417051780

South Shore Mental Health

Organisation Preferred Provider Organization Quincy, MA

Practice location

Address: 500 Victory Rd, Quincy, MA 02171-3139
Phone: (617) 847-1926

Authorised official

Name: Lu Fernandez
Title: Supervisor
Phone: (617) 847-1926

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1025460 (MA)

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Registry record

NPI: 1417051780
Entity type: Organization
NPI issued: 8 Sep 2006
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.