Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Other names
Dept of Mental Health - Dr. Solomon Carter Fuller Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E COONEY (CHIEF OPERATING OFFICER)
(617) 626-8796
Entity
Organization
Contact information
Practice address
85 E NEWTON ST, BOSTON, MA 02118-2340
(617) 626-8860
Mailing address
85 E NEWTON ST, BOSTON, MA 02118-2340
(617) 626-8860
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103229
—
MA
Enumeration date
03/20/2007
Last updated
04/21/2023
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