Organization
PRIMARY CARE MENTAL HEALTH
Active
Other names
Willow Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J STRASNICK PH.D., J.D. (PRESIDENT)
(781) 593-3480
Entity
Organization
Contact information
Practice address
280 UNION ST, LYNN, MA 01901-1353
(781) 593-3480
Mailing address
PO BOX 2190, WEST PEABODY, MA 01960-7190
(781) 231-7026
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800310
HARVARD PILGRIM HEALTHCAR
MA
01
—
806117
TUFTS HEALTH PLAN
MA
05
—
9776389
—
MA
01
—
M16274
BLUE CROSS/ BLUE SHIELD
MA
Enumeration date
05/28/2006
Last updated
07/21/2022
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