| Medford Assoc. In Mental Health | |
|
Zero Govenors Ave #20 Medford MA 02155 | |
| (781) 396-5575 | |
| Not Available |
| Full Name | Medford Assoc. In Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | Zero Govenors Ave, Medford, Massachusetts |
| Authorized Official Name and Position | Catherine M Tsarouhas (DIRECTOR) |
| Authorized Official Contact | 7813965575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medford Assoc. In Mental Health Po Box 791 Medford MA 02155 Ph: (781) 396-5575 | Medford Assoc. In Mental Health Zero Govenors Ave #20 Medford MA 02155 Ph: (781) 396-5575 |
| NPI Number | 1295923605 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295923605 | NPI | - | NPPES |
| 1891529 | Medicaid | MA | |
| P10196 | Other | MA | BCBS MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1017992 (Massachusetts) | Primary |
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