Organization
SOUTH SHORE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUZ FERNANDEZ (CREDENTIALING COORDINATOR)
(617) 847-1926
Entity
Organization
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 774-6036
Mailing address
20 MEAD ST # 2, CAMBRIDGE, MA 02140-2014
(617) 868-1472
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
110660
MA
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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