Organization
PROVIDENCE BEHAVIORAL HEALTH HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIRNIE WILLIAM II (SENIOR CLINICIAN)
(413) 493-2082
Entity
Organization
Contact information
Practice address
1233 MAIN ST, HOLYOKE, MA 01040-5381
(413) 539-2931
(413) 493-2703
Mailing address
1233 MAIN ST, HOLYOKE, MA 01040-5381
(413) 539-2931
(413) 493-2703
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
116430
MA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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