Boston Psychiatric Care LLC
NPI #1518246131 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1518246131
- Entity Type
- Organization
- Organization Name
- Boston Psychiatric Care LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Aug 12, 2011
- Last Updated
- Aug 19, 2011
Practice Location
- Address
- 11 GREEN ST
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-2588
- Phone
- (617) 830-1644
Authorized Official
- Name
- DANIELLE MARIE FEDOROV, RN CNS
- Title
- CLINICAL NURSE SPECIALIST
- Phone
- (617) 830-1644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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