Organization
VIDADE CORPORATION
Active
Parent organization
YES
Other names
vendor
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MS. VIDADE M RATEAU (MHA)
(857) 753-9760
Entity
Organization
Contact information
Practice address
1960 WASHINGTON ST, 1960, BOSTON, MA 02118-3219
(617) 516-0280
Mailing address
1960 WASHINGTON ST, 1960, BOSTON, MA 02118-3219
(617) 516-0280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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