Organization
WEDIKO CHILDREN'S SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA FRIES MSW (FINANCIAL DIRECTOR)
(617) 292-9200
Entity
Organization
Contact information
Practice address
11 BOBCAT BLVD, WINDSOR, NH 03244-7419
(603) 478-5236
(603) 478-2049
Mailing address
72 E DEDHAM ST, BOSTON, MA 02118-2315
(617) 292-9200
(617) 292-9275
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2899
NH
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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