| NPI | 1205721578 |
|---|---|
| Other Name | WAYSIDE YOUTH AND FAMILY |
| Entity Type | Organization |
| Authorized Contact | SAMARA VOLODIN MUNIZ CEO 781-462-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |