Whalio Doctors

NPI 1669690467

Wayside Youth & Family Support Network

Organisation Voluntary or Charitable Agency Waltham, MA

Practice location

Address
118 Central St, Waltham, MA 02453-5465
Phone
(781) 891-0556
Mailing address
75 Fountain St, Framingham, MA 01702-6210

Authorised official

Name
Eric L Masi
Title
Ceo
Phone
(508) 879-9800

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence 0592 (MA)

Registry record

NPI
1669690467
Entity type
Organization
NPI issued
24 Apr 2007
Record last updated
22 Aug 2020

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.