Organization
ELIOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON MAMATEY (INTENSIVE CARE COORDINATOR)
(781) 879-3243
Entity
Organization
Contact information
Practice address
730 EASTERN AVE, MALDEN, MA 02148-5924
(781) 395-0457
Mailing address
730 EASTERN AVE, MALDEN, MA 02148-5924
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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