Provider Demographics
NPI:1902110034
Name:MASSACHUSETTS SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
Entity Type:Organization
Organization Name:MASSACHUSETTS SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESISENT CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYLOU
Authorized Official - Middle Name:
Authorized Official - Last Name:SUDDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-587-1500
Mailing Address - Street 1:99 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-1213
Mailing Address - Country:US
Mailing Address - Phone:617-587-1500
Mailing Address - Fax:617-587-1582
Practice Address - Street 1:99 SUMMER ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1213
Practice Address - Country:US
Practice Address - Phone:617-587-1500
Practice Address - Fax:617-587-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health