Organization
SOUTH SHORE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LU FERNANDEZ (SUPERVISOR)
(617) 847-1926
Entity
Organization
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 847-1926
Mailing address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 847-1926
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1025460
MA
Other
Enumeration date
09/08/2006
Last updated
08/22/2020
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