Organization
BRIGHAM AND WOMEN'S HOSPITAL
Active
Other names
Brigham Psychiatric Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
LISA IRWIN (ADMINISTRATIVE DIRECTOR)
(617) 732-6753
Entity
Organization
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 525-7775
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
116456
MA
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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