| Doc Wayne Youth Services, Inc. | |
|
418 Commonwealth Ave Boston MA 02215-2801 | |
| (617) 801-4601 | |
| Not Available |
| Full Name | Doc Wayne Youth Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 418 Commonwealth Ave, Boston, Massachusetts |
| Authorized Official Name and Position | David S Cohen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6178014601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Wayne Youth Services, Inc. 418 Commonwealth Ave Boston MA 02215-2801 Ph: (617) 801-4601 | Doc Wayne Youth Services, Inc. 418 Commonwealth Ave Boston MA 02215-2801 Ph: (617) 801-4601 |
| NPI Number | 1558753020 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 02/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558753020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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