Organization
CEDAR STREET FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR FRANCIS LOSAPIO LICSW (PRESIDENT)
(508) 752-1331
Entity
Organization
Contact information
Practice address
340 MAIN ST, 869, WORCESTER, MA 01608-1604
(508) 752-1331
Mailing address
340 MAIN ST, 869, WORCESTER, MA 01608-1604
(508) 752-1331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
406F
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028186/A
—
MA
Enumeration date
12/11/2014
Last updated
12/11/2014
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