Pine Street Inn

NPI #1649658741 in Boston, Massachusetts

Provider Information

NPI Number: 1649658741
Entity Type: Organization
Organization Name: Pine Street Inn
Primary Specialty: Rehabilitation, Substance Use Disorder Unit
Enumeration Date: May 11, 2015
Last Updated: May 11, 2015

Practice Location

Address: 170 MORTON ST
City: Boston
State: Massachusetts
ZIP Code: 02130-3735
Phone: (617) 892-7893

Authorized Official

Name: MS. MARIA IMELDA FITZPATRICK, LCSW
Title: CLINICIAN
Phone: (617) 892-7893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation, Substance Use Disorder Unit	276400000X	Primary

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