Organization
TEAM COORDINATING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN GRADY LICSW (OUTPATIENT SERVICES DIRECTOR)
(978) 373-1181
Entity
Organization
Contact information
Practice address
76 WINTER ST, HAVERHILL, MA 01830-5760
(978) 373-1181
(978) 374-7605
Mailing address
76 WINTER ST, HAVERHILL, MA 01830-5760
(978) 373-1181
(978) 374-7605
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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