Organization
WHITTIER STREET HEALTH CENTER BEHAVIORAL HEALTH
Active
Parent organization
WHITTIER STREET HEALTH CENTER COMMITTEE INC
Other names
Whittier Street Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITTIER STREET HEALTH CENTER COMMITTEE INC
Authorized official
MR. JANE BRODIE (VICE PRESIDENT BEHAVIORAL HEALTH)
(617) 989-3077
Entity
Organization
Contact information
Practice address
1290 TREMONT ST, ROXBURY CROSSING, MA 02120-3432
(617) 427-1000
(617) 858-2674
Mailing address
1290 TREMONT ST, ROXBURY CROSSING, MA 02120-3432
(617) 427-1000
(617) 858-2674
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4144
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1399578
—
MA
01
—
Y55112
MEDICARE PART B CARRIER
MA
Enumeration date
11/16/2007
Last updated
06/30/2015
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