| Fhcw, Inc.-mental Health Services | |
|
26 Queen St Worcester MA 01610-2473 | |
| (508) 860-7975 | |
| (508) 860-7990 |
| Full Name | Fhcw, Inc.-mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 26 Queen St, Worcester, Massachusetts |
| Authorized Official Name and Position | Alyda Justiniano-franzel (MGR. PROVIDER RELATIONS) |
| Authorized Official Contact | 5088607962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fhcw, Inc.-mental Health Services 26 Queen St Worcester MA 01610-2473 Ph: (508) 860-7975 | Fhcw, Inc.-mental Health Services 26 Queen St Worcester MA 01610-2473 Ph: (508) 860-7975 |
| NPI Number | 1992987630 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992987630 | NPI | - | NPPES |
| 18618 | Other | MA | CMHC |
| Y10141 | Other | MA | MEDICARE GROUP # |
| 1300709 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4669 (Massachusetts) | Primary |
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