Organization
SOUTH SHORE RECOVERY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L MONAHAN PHD, LADAC I (EXEC DIRECTOR)
(617) 773-7023
Entity
Organization
Contact information
Practice address
10 DYSART ST, QUINCY, MA 02169-6702
(617) 773-7023
(167) 328-3799
Mailing address
10 DYSART ST, QUINCY, MA 02169-6702
(617) 773-7023
(167) 328-3799
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0207
MA
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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