| Wayside Youth & Family Support Network | |
|
22 Pleasant St 2205 Malden MA 02148-5119 | |
| (781) 338-2640 | |
| (781) 338-2217 |
| Full Name | Wayside Youth & Family Support Network |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22 Pleasant St, Malden, Massachusetts |
| Authorized Official Name and Position | Andrea Salzman (DIRECTOR OF HOME BASE PROGRAM) |
| Authorized Official Contact | 7818910556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayside Youth & Family Support Network 22 Pleasant St 2205 Malden MA 02148-5119 Ph: (781) 338-2640 | Wayside Youth & Family Support Network 22 Pleasant St 2205 Malden MA 02148-5119 Ph: (781) 338-2640 |
| NPI Number | 1104977131 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104977131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 104386 (Massachusetts) | Primary |
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