Organization
COMMONWEALTH OF MASSACHUSETTS
Active
Other names
Department of Mental Health - Mass Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNA MOONEY (SITE DIRECTOR)
(617) 626-9300
Entity
Organization
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 626-9300
(617) 626-9591
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 626-9300
(617) 626-9591
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802313
—
MA
Enumeration date
03/26/2007
Last updated
08/22/2020
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