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Organization
SOMERVILLE MENTAL HEALTH ASSOCIATION, INC.
Active
Organization
SOMERVILLE MENTAL HEALTH ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LENROW PH.D. (EXECUTIVE DIRECTOR)
(617) 625-0710
Entity
Organization
Contact information
Practice address
167 HOLLAND ST, SOMERVILLE, MA 02144-2401
(617) 625-0710
(617) 625-6339
Mailing address
167 HOLLAND ST, SOMERVILLE, MA 02144-2401
(617) 625-0710
(617) 625-6339
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011301390
RTG
MA
01
—
053045860
DUNS
MA
01
—
1002850
NEIGHBORHOOD HEALTH PLAN
MA
05
—
1302515
—
MA
05
—
1309889
—
MA
01
—
701166
TUFTS HEALTH PLAN
MA
01
—
996249
NETWORK HEALTH
MA
01
—
M184480
BLUE CROSS OF MA
MA
Enumeration date
08/31/2006
Last updated
08/16/2010
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