Organization
ACADEMIC & BEHVIORAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABRINA LEWIS MSW,LICSW (CLINIC DIRECTOR)
(413) 747-0829
Entity
Organization
Contact information
Practice address
155 MAPLE ST, SPRINGFIELD, MA 01105-1828
(413) 747-0829
(413) 747-7804
Mailing address
155 MAPLE ST, SPRINGFIELD, MA 01105-1828
(413) 747-0829
(413) 747-7804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
616969
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
337151
DOE PRINCIPAL/ASSISTANT/ SCH SOC WRK
MA
Enumeration date
09/28/2009
Last updated
09/28/2009
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