| NPI | 1053438739 |
|---|---|
| Doing Business As | DEPARTMENT OF MENTAL HEALTH - FULLER MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CAROL VANBOMMEL Site Director 617-626-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |