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Organization
HABIT OPCO
Active
Organization
HABIT OPCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEODORO CARMELO MELENDEZ SR. B.S., M.ED. (CLINICIAN)
(413) 733-3488
Entity
Organization
Contact information
Practice address
2257 MAIN ST, SPRINGFIELD, MA 01107-1905
(413) 733-3488
Mailing address
2257 MAIN ST, SPRINGFIELD, MA 01107-1905
(413) 733-3488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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