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Organization

THE COMMONWEALTH OF MASSACHUSETTS

Active
Other names
Quincy Mental Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN WING (NE/SUBURBAN AREA DIRECTOR)
(508) 616-3500
Entity
Organization

Contact information

Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 626-9002
(617) 770-2953
Mailing address
167 LYMAN ST, WESTBOROUGH, MA 01581-2619
(508) 616-3500
(508) 616-2859

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1102699
MA
Enumeration date
06/30/2006
Last updated
08/09/2011
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