# BOSTON MEDICAL CENTER/SPARK CENTER

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

## Provider details

- **NPI number:** 1669714457
- **Authorized official:** GEMIMA ST. LOUIS (DIRECTOR OF MENTAL HEALTH TRAINING)
- **Authorized official phone:** (617) 534-2050

## Contact information

- **Practice address:** 255 RIVER ST, MATTAPAN, MA 02126-2729
- **Practice address phone:** (617) 534-2050
- **Mailing address:** 255 RIVER ST, MATTAPAN, MA 02126-2729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 03/20/2013