WAYSIDE YOUTH & FAMILY SUPPORT NETWORK; NPI #1669690467

Contact Information

WAYSIDE YOUTH & FAMILY SUPPORT NETWORK

118 CENTRAL ST
WALTHAM, MA 02453-5465

Phone: 781-891-0556
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for WAYSIDE YOUTH & FAMILY SUPPORT NETWORK

NPI Number 1669690467

LBN Legal business name WAYSIDE YOUTH & FAMILY SUPPORT NETWORK

Authorized official ERIC MASI - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/24/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

MA	License #	0592
MA	Medicaid	1803689
MA	Other	EI0019	BLUE CROSS BLE SHIELD
MA	Other	8710897	CIGNA
MA	Other	6119935	HARVARD PILGRIM

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WAYSIDE YOUTH & FAMILY SUPPORT NETWORK

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for WAYSIDE YOUTH & FAMILY SUPPORT NETWORK

Reviews for WAYSIDE YOUTH & FAMILY SUPPORT NETWORK