Organization
CARISSA MELILLO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA MELILLO (THERAPIST)
(718) 757-0369
Entity
Organization
Contact information
Practice address
10 CONCORD AVE, CAMBRIDGE, MA 02138-2322
(617) 520-4448
Mailing address
10 CONCORD AVE, CAMBRIDGE, MA 02138-2322
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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