| Back Bay Mental Health Llc | |
|
975 Commonwealth Ave Boston MA 02215-1305 | |
| (781) 929-0789 | |
| Not Available |
| Full Name | Back Bay Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 975 Commonwealth Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Krystin Quinn (VP OPERATIONS) |
| Authorized Official Contact | 7819290789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back Bay Mental Health Llc 8 Essex Center Dr # 310 Peabody MA 01960-2959 Ph: (781) 929-0789 | Back Bay Mental Health Llc 975 Commonwealth Ave Boston MA 02215-1305 Ph: (781) 929-0789 |
| NPI Number | 1922830041 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922830041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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