Organization
MELROSEWAKEFIELD HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GREEN (EVP CHIEF FINANCIAL OFFICER)
(978) 788-7143
Entity
Organization
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 979-3050
Mailing address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
VKB3
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004215
NEIGHBORHOOD PSYCH INPAT
MA
Enumeration date
02/07/2007
Last updated
03/14/2023
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