Organization
WAYSIDE YOUTH AND FAMILY SUPPORT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALI SARAH WEINBERG MA (HOMEBASE CLINICIAN)
(781) 338-2640
Entity
Organization
Contact information
Practice address
22 PLEASANT ST, MALDEN, MA 02148-5119
(781) 338-2640
(781) 338-2217
Mailing address
1730 COMMONWEALTH AVE., UNIT 3, BRIGHTON, MA 02467
(617) 515-7309
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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