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Organization

ALC CORP

Active
Other names
ALC Outpatient
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL SUPTANOWICZ (OWNER)
(413) 446-6311
Entity
Organization

Contact information

Practice address
57 MAPLEWOOD AVE, PITTSFIELD, MA 01201-4753
(413) 446-6311
Mailing address
57 MAPLEWOOD AVE, PITTSFIELD, MA 01201-4753
(413) 446-6311

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/18/2019
Last updated
10/18/2019
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