Organization
HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPURGEON WAMALA (CEO)
(413) 391-8996
Entity
Organization
Contact information
Practice address
235 CHESTNUT ST FL 1, SPRINGFIELD, MA 01103-1103
(413) 391-6762
Mailing address
235 CHESTNUT ST FL 1, SPRINGFIELD, MA 01103-1103
(413) 391-6762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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