Organization
COMMUNITY HEALTHLINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXWELL SHARKEY (CLINICIAN)
(774) 641-1404
Entity
Organization
Contact information
Practice address
227 BURNCOAT ST, WORCESTER, MA 01606-2169
(508) 853-6988
Mailing address
72 JACQUES AVE, WORCESTER, MA 01610-2476
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
221190
MA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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