The Commonwealth of Massachusetts
NPI #1407884059 in Quincy, Massachusetts
Provider Information
- NPI Number
- 1407884059
- Entity Type
- Organization
- Organization Name
- The Commonwealth of Massachusetts
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Jun 30, 2006
- Last Updated
- Aug 9, 2011
Practice Location
- Address
- 460 QUINCY AVE
- City
- Quincy
- State
- Massachusetts
- ZIP Code
- 02169-8130
- Phone
- (617) 626-9002
Authorized Official
- Name
- SUSAN WING
- Title
- NE/SUBURBAN AREA DIRECTOR
- Phone
- (508) 616-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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