Organization
MSPCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DEVINE (CLINICAL MANAGER)
(413) 537-9446
Entity
Organization
Contact information
Practice address
230 MAPLE ST STE B1, HOLYOKE, MA 01040-5143
(413) 532-9446
Mailing address
230 MAPLE ST STE B1, HOLYOKE, MA 01040-5143
(413) 532-9446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
106H00000X
MA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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