Organization
COMMUNITY HEALTHLINK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN A. OSHLAG LICSW (VICE PRESIDENT OF OPERATIONS)
(508) 860-1163
Entity
Organization
Contact information
Practice address
12 QUEEN STREET, WORCESTER, MA 01610
(508) 860-1260
(508) 860-1115
Mailing address
72 JAQUES AVE, WORCESTER, MA 01610-2476
(508) 860-1163
(508) 860-1115
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
4684
MA
261QC1500X
Community Health Clinic/Center
4684
MA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4684
MA
320800000X
Mental Illness Community Based Residential Treatment Facility
2R006
MA
324500000X
Substance Abuse Rehabilitation Facility
0110
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303007
—
MA
05
—
1307002
—
MA
05
—
1308076
—
MA
05
—
1308742
—
MA
Enumeration date
07/26/2006
Last updated
10/25/2007
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