Commonwealth of Massachusetts
NPI #1578680252 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1578680252
- Entity Type
- Organization
- Organization Name
- Commonwealth of Massachusetts
- Primary Specialty
- Case Management
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 170 MORTON ST
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-3735
- Phone
- (617) 626-9300
Authorized Official
- Name
- GLENNA MOONEY
- Title
- SITE DIRECTOR
- Phone
- (617) 626-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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