Organization
MASS GENERAL REVERE HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINE LOUISE DANIELS LCSW (CLINICAL SOCIAL WORKER)
(781) 495-6039
Entity
Organization
Contact information
Practice address
300 OCEAN AVE, REVERE, MA 02151-3675
(781) 485-6000
(781) 485-6230
Mailing address
300 OCEAN AVE, REVERE, MA 02151-3675
(781) 485-6000
(781) 485-6230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
214161
MA
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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