| Greater Malden Behavioral Health, Inc | |
|
6 Pleasant St Suite 513 Malden MA 02148-5100 | |
| (781) 480-3946 | |
| (781) 480-3952 |
| Full Name | Greater Malden Behavioral Health, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6 Pleasant St, Malden, Massachusetts |
| Authorized Official Name and Position | Ishman Williams (COO) |
| Authorized Official Contact | 7814803946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Malden Behavioral Health, Inc 6 Pleasant St Suite 513 Malden MA 02148-5100 Ph: (781) 480-3946 | Greater Malden Behavioral Health, Inc 6 Pleasant St Suite 513 Malden MA 02148-5100 Ph: (781) 480-3946 |
| NPI Number | 1649661166 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 3870803950 |
|---|---|
| Medicare Enrollment ID | O20151102000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649661166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4UJP (Massachusetts) | Primary |
| Provider Name | Ishman Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447491311 PECOS PAC ID: 6002116639 Enrollment ID: I20151203000817 |
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