Organization
BOSTON MEDICAL CENTER/SPARK CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEMIMA ST. LOUIS (DIRECTOR OF MENTAL HEALTH TRAINING)
(617) 534-2050
Entity
Organization
Contact information
Practice address
255 RIVER ST, MATTAPAN, MA 02126-2729
(617) 534-2050
Mailing address
255 RIVER ST, MATTAPAN, MA 02126-2729
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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