NPI 1548579121
Willis Center
Practice location
- Address
- 44 Front St Fourth Floor, Worcester, MA 01608-1733
- Phone
- (508) 799-2934
- Mailing address
- 91 Kenberma Road Apartment #2, Worcester, MA 01604
Authorised official
- Name
- Lisa Anne Sansoucy
- Title
- Clinician
- Phone
- (508) 799-2934
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1548579121
- Entity type
- Organization
- NPI issued
- 30 Sep 2010
- Record last updated
- 30 Sep 2010
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.