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Massachusetts Mental Health Center

Psychiatric Hospital in Jamaica Plain, MA. Organization (NPI-2).

NPI number1790836799
StatusActive
Last updated in NPPESNov 7, 2007

Details

NPI
1790836799
Entity type
Organization (NPI-2)
Legal business name
Massachusetts Mental Health Center
Organization subpart
No
Enumeration date
Jan 16, 2007
Last updated
Nov 7, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
283Q00000X Psychiatric Hospital216179MAYes

Practice location

180 Morton St
Jamaica Plain, MA 02130-3735

Phone 617-626-9587 · Fax 617-626-9578

Mailing address

180 Morton St
Jamaica Plain, MA 02130-3735

Phone 617-626-9587 · Fax 617-626-9578

Authorized official

Juan Raul Condemarin
Psychiatrist
6176269587

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