| Boston Rescue Mission, Inc. | |
|
39 Kingston St Boston MA 02111-2208 | |
| (617) 338-9000 | |
| (617) 482-6623 |
| Full Name | Boston Rescue Mission, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 39 Kingston St, Boston, Massachusetts |
| Authorized Official Name and Position | John Samaan (PRESIDENT AND CEO) |
| Authorized Official Contact | 6173389000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Rescue Mission, Inc. Po Box 120069 Boston MA 02112-0069 Ph: (617) 338-9000 | Boston Rescue Mission, Inc. 39 Kingston St Boston MA 02111-2208 Ph: (617) 338-9000 |
| NPI Number | 1144572165 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144572165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0874 (Massachusetts) | Primary |
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