# CENTRE STREET REHABIILITATION, INC.

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

## Provider details

- **NPI number:** 1760601983
- **Authorized official:** MS. LYDIA SHVER (SECRETARY AND TREASURER)
- **Authorized official phone:** (617) 522-8500

## Contact information

- **Practice address:** 488 CENTRE ST, JAMAICA PLAIN, MA 02130-2057
- **Practice address phone:** (617) 522-8500
- **Mailing address:** 488 CENTRE ST, JAMAICA PLAIN, MA 02130-2057
- **Mailing address phone:** (617) 522-8500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 187 | MA | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020
