Organization
BOSTON PARTNERS IN MENTORING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE L JONES MSW/LADCI (CONTRACTING CONTACT)
(617) 306-6812
Entity
Organization
Contact information
Practice address
54 LAWN ST, ROXBURY CROSSING, MA 02120-3325
(857) 383-9941
Mailing address
PO BOX 181124, BOSTON, MA 02118-0012
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1096
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386824746
NEIGHBORHOOD HEALTH PLAN
MA
Enumeration date
03/27/2008
Last updated
03/27/2008
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