NPI 1790836799

Massachusetts Mental Health Center

Organisation Psychiatric Hospital Jamaica Plain, MA

Practice location

Address: 180 Morton St, Jamaica Plain, MA 02130-3735
Phone: (617) 626-9587
Fax: (617) 626-9578

Authorised official

Name: Juan Raul Condemarin
Title: Psychiatrist
Phone: (617) 626-9587

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 216179 (MA)

Other Psychiatric Hospital providers in Massachusetts →

Registry record

NPI: 1790836799
Entity type: Organization
NPI issued: 16 Jan 2007
Record last updated: 7 Nov 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.