| NPI | 1003804725 |
|---|---|
| Doing Business As | FENWAY HEALTH |
| Entity Type | Organization |
| Authorized Contact | JEFF LIEBERMAN VP Finance & Administration 617-927-6173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4519) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 4519) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2011-07-07 |