Organization
CENTRO LAS AMERICAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE MACWADE (CLINICAL SUPERVISOR)
(508) 798-1900
Entity
Organization
Contact information
Practice address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(508) 798-1900
Mailing address
124 MUIRFIELD RD, ROCKVILLE CENTRE, NY 11570-2701
(516) 967-6602
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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