OrganizationActive
Boston Medical Center/Spark Center
NPI 1669714457 · Early Intervention Provider Agency · Mattapan, MA
Provider details
- NPI number
- 1669714457
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Gemima St. Louis, Director of Mental Health Training(617) 534-2050
Specialties & taxonomies
Agencies
Practice location
255 River St
Mattapan, MA 02126-2729
Phone: (617) 534-2050
Approximate (ZIP-level) locationGet directions
Mailing address
255 River St
Mattapan, MA 02126-2729
Registry dates
- Enumerated
- 2013-03-20
- Last updated
- 2013-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.