Provider First Line Business Practice Location Address:
55 FRUIT STREET - WAC037
Provider Second Line Business Practice Location Address:
MGH SOCIAL SERVICES
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114-2696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-726-5181
Provider Business Practice Location Address Fax Number:
617-724-1800
Provider Enumeration Date:
03/07/2007