Whalio Doctors

NPI 1518081108

Cambridge Eating Disorder Center

Organisation Psychiatric Residential Treatment Facility Cambridge, MA

Practice location

Address
3 Bow St, Cambridge, MA 02138-5103
Phone
(617) 547-2255
Fax
(617) 547-0003

Authorised official

Name
Seda Ebrahimi-Keshishian
Title
President
Phone
(617) 547-2255

Registered specialties (6)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence MB-PRF-914 (MA)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6214 (MA)
Clinical Child & Adolescent Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 6214 (MA)
Family Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0000X Licence 6214 (MA)
Group Psychotherapy Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TP2701X Licence 6214 (MA)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6214 (MA)

Registry record

NPI
1518081108
Entity type
Organization
NPI issued
19 Mar 2007
Record last updated
14 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.