Wayside Youth and Family Support Network
NPI #1720130453 in Malden, Massachusetts
Provider Information
- NPI Number
- 1720130453
- Entity Type
- Organization
- Organization Name
- Wayside Youth and Family Support Network
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 22 PLEASANT ST
- City
- Malden
- State
- Massachusetts
- ZIP Code
- 02148-5119
- Phone
- (781) 338-2640
Authorized Official
- Name
- MS. ALI SARAH WEINBERG, MA
- Title
- HOMEBASE CLINICIAN
- Phone
- (781) 338-2640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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