# WAYSIDE YOUTH AND FAMILY SUPPORT NETWORK

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

## Provider details

- **NPI number:** 1699925800
- **Authorized official:** MRS. SARA E LAW (MSW INTERN)
- **Authorized official phone:** (508) 879-9800

## Contact information

- **Practice address:** 75 FOUNTAIN ST, FRAMINGHAM, MA 01702-6210
- **Practice address phone:** (508) 879-9800
- **Mailing address:** 75 FOUNTAIN ST, FRAMINGHAM, MA 01702-6210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 09/24/2008