NPI | 1720221740 |
---|---|
Doing Business As | SOUTH SHORE BEHAVIORAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | KENNETH MJ ROOD Clinical Director 617-909-8019 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2018-07-25 |