Organization
DEPARTMENT OF MENTAL HEALTH
Active
Other names
Brighton IRTP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL SCOPA (ASST DIRECTOR OF NON-INST REIMBURSE)
(617) 886-8089
Entity
Organization
Contact information
Practice address
BRIGHTON IRTP - EVERETT HOUSE, 232 CENTRE ST, DORCHESTER CENTER, MA 02124-2334
(617) 825-5703
Mailing address
25 STANIFORD ST, BOSTON, MA 02114-2503
(617) 626-8040
(617) 626-8295
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1102958
—
MA
Enumeration date
03/27/2007
Last updated
08/22/2020
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