| Fenway Community Health Center | |
|
7 Haviland St Boston MA 02115-2683 | |
| (617) 267-0900 | |
| (617) 927-5410 |
| Full Name | Fenway Community Health Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7 Haviland St, Boston, Massachusetts |
| Authorized Official Name and Position | Carlos Vaquerano (MENTAL HEALTH REFERRAL COORDINATOR) |
| Authorized Official Contact | 6179276073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenway Community Health Center 7 Haviland St Boston MA 02115-2683 Ph: (617) 267-0900 | Fenway Community Health Center 7 Haviland St Boston MA 02115-2683 Ph: (617) 267-0900 |
| NPI Number | 1174620686 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174620686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 113303 (Massachusetts) | Primary |
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