Organization
SOUTHBAY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PERRY LCSW (CLINICIAN)
(631) 219-1131
Entity
Organization
Contact information
Practice address
15 UNION ST, SECOND FLOOR, LAWRENCE, MA 01840-1866
(978) 688-5222
Mailing address
13 PLEASANT ST, APT.1, CAMBRIDGE, MA 02139-3210
(631) 219-1131
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
217636
MA
Other
Enumeration date
11/12/2011
Last updated
11/12/2011
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