Organization
SOUTH BAY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYSSA MARIE JONIKAS BA (CASE MANAGER)
(508) 752-3936
Entity
Organization
Contact information
Practice address
332 MAIN ST, 30, WORCESTER, MA 01608-1517
(508) 752-3969
(508) 725-3967
Mailing address
14 MENDON ST, WORCESTER, MA 01604-4804
(508) 847-0480
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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