| Salem Street Healthcare Inc | |
|
285 Salem St Lowell MA 01854-3517 | |
| (978) 452-9229 | |
| (978) 452-3752 |
| Full Name | Salem Street Healthcare Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 285 Salem St, Lowell, Massachusetts |
| Authorized Official Name and Position | Fida Hassan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9784529229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Street Healthcare Inc 285 Salem St Lowell MA 01854-3517 Ph: (978) 452-9229 | Salem Street Healthcare Inc 285 Salem St Lowell MA 01854-3517 Ph: (978) 452-9229 |
| NPI Number | 1841427101 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 06/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841427101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 230249 (Massachusetts) | Primary |
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