Organization
COMMUNITY HEALTH LINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L SMITH (OPERATIONS/COMPLIANCE MANAGER)
(508) 438-5578
Entity
Organization
Contact information
Practice address
72 JAQUES AVE, WORCESTER, MA 01610-2476
(508) 438-5578
(508) 860-1023
Mailing address
72 JAQUES AVE, WORCESTER, MA 01610-2476
(508) 438-5578
(508) 860-1023
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
116662
MA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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