| Wayside Youth & Family Support Network | |
|
80 Lincoln Street Framingham MA 01702 | |
| (508) 620-0010 | |
| (508) 626-7625 |
| Full Name | Wayside Youth & Family Support Network |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 80 Lincoln Street, Framingham, Massachusetts |
| Authorized Official Name and Position | Eric L Masi (PRESIDENT/CEO) |
| Authorized Official Contact | 5088799800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayside Youth & Family Support Network 1 Frederick Abbott Way Framingham MA 01702 Ph: (508) 879-9800 | Wayside Youth & Family Support Network 80 Lincoln Street Framingham MA 01702 Ph: (508) 620-0010 |
| NPI Number | 1851484505 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 06/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851484505 | NPI | - | NPPES |
| 1311859 | Medicaid | MA | |
| 1311786 | Medicaid | MA | |
| 1311824 | Medicaid | MA | |
| 1311832 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4388 (Massachusetts) | Primary |
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