Organization
COMMONWEALTH OF MASSACHUSETTS
Active
Other names
Department of Mental Health - Lindemann Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROS SIMON (SITE DIRECTOR)
(617) 626-8501
Entity
Organization
Contact information
Practice address
25 STANIFORD ST, BOSTON, MA 02114-2503
(617) 626-8501
(617) 626-8515
Mailing address
25 STANIFORD ST, BOSTON, MA 02114-2503
(617) 626-8501
(617) 626-8515
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802224
—
MA
Enumeration date
03/26/2007
Last updated
08/22/2020
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