North Suffolk Ccs, Cambridge/somerville
NPI #1679704662 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1679704662
- Entity Type
- Organization
- Organization Name
- North Suffolk Ccs, Cambridge/somerville
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOSTON UNIVERISTY PSYCHIATRY ASSOCIATES
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 7, 2009
- Last Updated
- Aug 7, 2009
Practice Location
- Address
- 230 HIGHLAND AVE
- Address 2
- NS CCS
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02143-1408
- Phone
- (617) 591-4500
Authorized Official
- Name
- LESLIE A FISHMAN
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (617) 638-4920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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