# SALEM STREET HEALTHCARE INC

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

## Provider details

- **NPI number:** 1841427101
- **Authorized official:** FIDA HASSAN OWNER (MEDICAL DIRECTOR)
- **Authorized official phone:** (978) 452-9229

## Contact information

- **Practice address:** 285 SALEM ST, LOWELL, MA 01854-3517
- **Practice address phone:** (978) 452-9229
- **Practice address fax:** (978) 452-3752
- **Mailing address:** 285 SALEM ST, LOWELL, MA 01854-3517
- **Mailing address phone:** (978) 452-9229
- **Mailing address fax:** (978) 452-3752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 230249 | MA | Yes |

## Other

- **Enumeration date:** 06/15/2009
- **Last updated:** 06/15/2009