Organization
MELROSE WAKEFIELD BEHAVIORAL HEALTH CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LALILTH TISSERA (PSYCHIATRIST)
(781) 224-3607
Entity
Organization
Contact information
Practice address
11 LAFAYETTE ST, WAKEFIELD, MA 01880-2304
(781) 224-3607
Mailing address
11 LAFAYETTE ST, WAKEFIELD, MA 01880-2304
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
115832
MA
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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