# JUDGE BAKER CHILDREN'S CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629559059
- **Authorized official:** KATHERINE MAY (DIRECTOR OF CLINICAL OPERATIONS)
- **Authorized official phone:** (617) 254-3800

## Contact information

- **Practice address:** 53 PARKER HILL AVE, BOSTON, MA 02120-3225
- **Practice address phone:** (617) 278-4265
- **Mailing address:** 53 PARKER HILL AVE, BOSTON, MA 02120-3225
- **Mailing address phone:** (617) 278-4265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2018
- **Last updated:** 04/12/2023
