NPI 1649658741

Pine Street Inn

Organisation Substance Use Disorder Rehabilitation Hospital Unit Boston, MA

Practice location

Address: 170 Morton St, Boston, MA 02130-3735
Phone: (617) 892-7893
Mailing address: 1220 Adams St G17, Boston, MA 02124-5752

Authorised official

Name: Maria Imelda Fitzpatrick
Title: Clinician
Phone: (617) 892-7893

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X Licence 220519 (MA)

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Registry record

NPI: 1649658741
Entity type: Organization
NPI issued: 11 May 2015
Record last updated: 11 May 2015

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.