Organization
BEHAVIORAL HEALTH NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FOLLETT (VP OF ADMINISTRATION)
(413) 519-9495
Entity
Organization
Contact information
Practice address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 301-9403
(413) 732-7075
Mailing address
PO BOX 2738, SPRINGFIELD, MA 01101-2738
(413) 747-0705
(413) 732-7075
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027780E
—
MA
01
—
1800779
MASS HEALTH
MA
01
—
831734
TUFTS
MA
01
—
EI0029
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
01/24/2007
Last updated
08/21/2024
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