| Eating Disorder Center Of Boston | |
|
419 Boylston St Ste 501b Boston MA 02116-3310 | |
| (857) 233-9969 | |
| Not Available |
| Full Name | Eating Disorder Center Of Boston |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 419 Boylston St Ste 501b, Boston, Massachusetts |
| Authorized Official Name and Position | Mike Bagley (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3056631876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorder Center Of Boston 6100 Sw 76th St South Miami FL 33143-5002 Ph: (305) 663-1876 | Eating Disorder Center Of Boston 419 Boylston St Ste 501b Boston MA 02116-3310 Ph: (857) 233-9969 |
| NPI Number | 1831575091 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831575091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 41YT (Massachusetts) | Primary |
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