Boston Medical Center/spark Center
NPI #1669714457 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1669714457
- Entity Type
- Organization
- Organization Name
- Boston Medical Center/spark Center
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Mar 20, 2013
- Last Updated
- Mar 20, 2013
Practice Location
- Address
- 255 RIVER ST
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126-2729
- Phone
- (617) 534-2050
Authorized Official
- Name
- GEMIMA ST. LOUIS
- Title
- DIRECTOR OF MENTAL HEALTH TRAINING
- Phone
- (617) 534-2050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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