Organization
YOUTH AND FAMILY SERVICES
Active
Other names
Community Healthlink
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANNE SANSOUCY MA, CAGS (FEE-FOR -SERVICE)
(508) 479-9310
Entity
Organization
Contact information
Practice address
275 BELMONT ST, WORCESTER, MA 01604-1675
(507) 791-3261
Mailing address
91 KENBERMA RD, WORCESTER, MA 01604-3951
(508) 479-9319
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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