NPI 1639337280

Pine Street Inn, INC.

Organisation Physical Disabilities Residential Treatment Facility Dorchester Center, MA

Practice location

Address: 28 Rockwell St, Dorchester Center, MA 02124-4438
Phone: (617) 892-8802
Fax: (617) 825-9020
Mailing address: 444 Harrison Ave, Boston, MA 02118-2404

Authorised official

Name: Terrence B Gagne
Title: Chief Financial Officer
Phone: (617) 892-9116

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Massachusetts →

Registry record

NPI: 1639337280
Entity type: Organization
NPI issued: 30 May 2008
Record last updated: 30 May 2008

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.