Organization
SOMERVILLE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE LEE RAFFEL (R.N.)
(617) 629-6627
Entity
Organization
Contact information
Practice address
78 COLLEGE AVE, SOMERVILLE, MA 02144-1916
(617) 629-6627
Mailing address
78 COLLEGE AVE, SOMERVILLE, MA 02144-1916
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
146400
MA
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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