Organization
635 COMMUNITY HEALTH COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIOT BRYANT SYKES LICSW (OWNER)
(801) 824-1939
Entity
Organization
Contact information
Practice address
209 WACHUSETT ST APT 1, JAMAICA PLAIN, MA 02130-4233
(801) 441-0176
Mailing address
209 WACHUSETT ST APT 1, JAMAICA PLAIN, MA 02130-4233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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