Organization
CITYWIDE BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SLAVA ISMINTSEV (OWNER)
(617) 699-5845
Entity
Organization
Contact information
Practice address
135 WEBSTER ST STE 1, HANOVER, MA 02339-1200
(781) 429-7755
Mailing address
25 SIMPSON ST, NEWTON, MA 02458-2225
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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