# COMMUNITY HEALTH LINK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134279623
- **Authorized official:** KETTLY BENOIT MA., MFT (CLINICIAN)
- **Authorized official phone:** (508) 791-3261

## Contact information

- **Practice address:** 275 BELMONT ST, WORCESTER, MA 01604-1675
- **Practice address phone:** (508) 791-3261
- **Mailing address:** 275 BELMONT ST, WORCESTER, MA 01604-1675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 09/20/2007