Organization
ATCNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL F JOHNSON (CFO)
(617) 254-1271
Entity
Organization
Contact information
Practice address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
(617) 782-7668
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
(617) 782-7668
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0617
MA
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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