| Arlington Youth Consultation Center | |
|
670 Massachusetts Ave # R Arlington MA 02476-5003 | |
| (781) 316-3255 | |
| (781) 316-3261 |
| Full Name | Arlington Youth Consultation Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 670 Massachusetts Ave # R, Arlington, Massachusetts |
| Authorized Official Name and Position | Leon Cantor (DIRECTOR OF YOUTH SERVICES) |
| Authorized Official Contact | 7813163251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arlington Youth Consultation Center 730 Massachusetts Ave Arlington MA 02476-4906 Ph: (781) 316-3255 | Arlington Youth Consultation Center 670 Massachusetts Ave # R Arlington MA 02476-5003 Ph: (781) 316-3255 |
| NPI Number | 1174670442 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174670442 | NPI | - | NPPES |
| 1305654 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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