| Somerville Mental Health Association, Inc. | |
|
167 Holland St Somerville MA 02144-2401 | |
| (617) 625-0710 | |
| (617) 625-6339 |
| Full Name | Somerville Mental Health Association, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 167 Holland St, Somerville, Massachusetts |
| Authorized Official Name and Position | Peter Lenrow (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6176250710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somerville Mental Health Association, Inc. 167 Holland St Somerville MA 02144-2401 Ph: (617) 625-0710 | Somerville Mental Health Association, Inc. 167 Holland St Somerville MA 02144-2401 Ph: (617) 625-0710 |
| NPI Number | 1578674289 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578674289 | NPI | - | NPPES |
| 1002850 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 996249 | Other | MA | NETWORK HEALTH |
| 1302515 | Medicaid | MA | |
| 053045860 | Other | MA | DUNS |
| 1309889 | Medicaid | MA | |
| M184480 | Other | MA | BLUE CROSS OF MA |
| 701166 | Other | MA | TUFTS HEALTH PLAN |
| 011301390 | Other | MA | RTG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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