Organization
BRIDGE OVER TROUBLED WATERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS COLLIGAN (INTERIM EXECUTIVE DIRECTOR)
(617) 423-9575
Entity
Organization
Contact information
Practice address
47 WEST ST, BOSTON, MA 02111-1219
(617) 423-9575
(857) 277-6465
Mailing address
47 WEST ST, BOSTON, MA 02111-1219
(617) 423-9575
(857) 277-6465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0567
MA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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