Organization
MA DEPARTMENT OF YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM EGAN (BUDGET DIRECTOR)
(617) 960-3258
Entity
Organization
Contact information
Practice address
27 WORMWOOD STREET, SUITE 400, BOSTON, MA 02210
(617) 727-7575
(617) 951-2409
Mailing address
27 WORMWOOD STREET, SUITE 400, BOSTON, MA 02210
(617) 727-7575
(617) 951-2409
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803867
—
MA
Enumeration date
05/03/2007
Last updated
10/23/2007
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