Organization
SALEM STREET HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDA HASSAN OWNER (MEDICAL DIRECTOR)
(978) 452-9229
Entity
Organization
Contact information
Practice address
285 SALEM ST, LOWELL, MA 01854-3517
(978) 452-9229
(978) 452-3752
Mailing address
285 SALEM ST, LOWELL, MA 01854-3517
(978) 452-9229
(978) 452-3752
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
230249
MA
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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