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Organization

CAMBRIDGE HEALTH ALLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT TETRICK M.A. (COORDINATOR)
(617) 665-3449
Entity
Organization

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1187
Mailing address
41 MAGNOLIA AVE, CAMBRIDGE, MA 02138-3209
(617) 455-1722

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary

Other

Enumeration date
06/22/2007
Last updated
08/22/2020
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