Provider First Line Business Practice Location Address:
180 MORTON ST
Provider Second Line Business Practice Location Address:
MA MENTAL HEALTH CENTER AT SHATTUCK HOSPITAL
Provider Business Practice Location Address City Name:
JAMAICA PLAIN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-626-9591
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2007