Organization
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
Active
Other names
Pine Street Inn - Men's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES W LEUNG (CHIEF FINANCIAL OFFICER)
(857) 654-1200
Entity
Organization
Contact information
Practice address
444 HARRISON AVE, BOSTON, MA 02118
(857) 654-1850
(857) 654-1433
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1227
(857) 654-1404
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4LQX
MA
Other
Enumeration date
11/14/2008
Last updated
05/24/2018
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