Organization
HABIT CPCO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HERMINIA CORDERO MHSC (SUBSTANCE ABUSE COUNCELOUR)
(787) 309-5536
Entity
Organization
Contact information
Practice address
650 SUFFOLK ST, LOWELL, MA 01854-3642
(978) 452-5155
Mailing address
52 COLONIAL AVE, SPRINGFIELD, MA 01109-2702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
002
PR
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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