| Wayside Youth And Family Support Netwrok | |
|
118 Central St Waltham MA 02453-5465 | |
| (781) 891-0556 | |
| Not Available |
| Full Name | Wayside Youth And Family Support Netwrok |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 118 Central St, Waltham, Massachusetts |
| Authorized Official Name and Position | Michelle S Henriquez (YOUTH SUPPORT WORKER) |
| Authorized Official Contact | 7818910556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayside Youth And Family Support Netwrok 118 Central St Waltham MA 02453-5465 Ph: (781) 891-0556 | Wayside Youth And Family Support Netwrok 118 Central St Waltham MA 02453-5465 Ph: (781) 891-0556 |
| NPI Number | 1942423165 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942423165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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