Fenway Community Health Center, INC
NPI #1003804725 in Boston, Massachusetts
Provider Information
- NPI Number
- 1003804725
- Entity Type
- Organization
- Organization Name
- Fenway Community Health Center, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 6, 2005
- Last Updated
- Jul 7, 2011
Practice Location
- Address
- 1340 BOYLSTON ST
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02215-4302
- Phone
- (617) 927-4880
Authorized Official
- Name
- JEFF LIEBERMAN
- Title
- VP FINANCE & ADMINISTRATION
- Phone
- (617) 927-6173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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