Wayside Youth & Family Support Network
NPI #1669690467 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1669690467
- Entity Type
- Organization
- Organization Name
- Wayside Youth & Family Support Network
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 118 CENTRAL ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02453-5465
- Phone
- (781) 891-0556
Authorized Official
- Name
- ERIC L MASI
- Title
- CEO
- Phone
- (508) 879-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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