Organization
COMMONWEALTH OF MASSACHUSETTS-DMH
Active
Other names
WEST SUBURBAN SITE
Organization subpart
No
Provider details
NPI number
Authorized official
OSWALD RAMBARRAN (SITE DIRECTOR)
(508) 616-2804
Entity
Organization
Contact information
Practice address
288 LYMAN ST, WESTBOROUGH, MA 01581-2633
(508) 616-2805
Mailing address
288 LYMAN ST, WESTBOROUGH, MA 01581-2633
(508) 616-2805
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802305
—
MA
Enumeration date
03/29/2007
Last updated
08/27/2007
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