OrganizationActive
Department of Mental Health
NPI 1083732168 · Mental Illness Community Based Residential Treatment Facility · Boston, MA
Provider details
- NPI number
- 1083732168
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Paul Scopa, Asst Director of Non-Inst Reimburse(617) 886-8089
Specialties & taxonomies
Residential Treatment Facilities
Practice location
Boston University - Fuller Irtp
85 E Newton St Fl 6
Boston, MA 02118-2340
Phone: (617) 414-2005
Fax: (617) 414-2101
Approximate (ZIP-level) locationGet directions
Mailing address
25 Staniford St
Boston, MA 02114-2503
Other names (DBA / former)
- Doing business as
- B U Fuller Irtp
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.