Organization
BAYRIDGE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN KATHLEEN BENSON LICSW (OUTPATIENT THERAPIST)
(781) 599-9200
Entity
Organization
Contact information
Practice address
60 GRANITE ST, LYNN, MA 01904-2915
(781) 599-9200
Mailing address
60 GRANITE ST, LYNN, MA 01904-2915
(781) 599-9200
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
113273
MA
Other
Enumeration date
01/09/2007
Last updated
11/10/2008
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