Wayside Youth & Family Support Network

LBN: Wayside Youth & Family Support Network
Wayside Youth & Family Support Network is an health care organization with primary practice located at 118 Central St , Waltham MA 02453-5465. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Wayside Youth & Family Support Network can be contacted via phone (781) 891-0556, or through Masi, Eric L via phone (508) 879-9800.

Contact Information

Primary practice address
118 Central St Waltham MA 02453-5465
Phone: (781) 891-0556
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Masi, Eric L
Phone: (508) 879-9800

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X 0592 Massachusetts

Profile Details

NPI number 1669690467
LBN Legal business name Wayside Youth & Family Support Network
DBA Doing business as
Authorized official Masi, Eric L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669690467 NPPES
Massachusetts Other 6119935 HARVARD PILGRIM
Massachusetts Other 8710897 HARVARD PILGRIM
Massachusetts Other EI0019 HARVARD PILGRIM
Massachusetts MEDICAID 1803689 HARVARD PILGRIM

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