Organization
COMMUNITY HEALTHLINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN VICTOR POWELL M.S. (COUNSELOR)
(978) 466-8350
Entity
Organization
Contact information
Practice address
72 JAQUES AVE, WORCESTER, MA 01610-2476
(508) 860-1000
Mailing address
20 OLDE COLONIAL DR APT 6, GARDNER, MA 01440-4212
(978) 273-8438
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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