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Organization

VALLEY PSYCHIATRIC SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AARON M. LEAVITT M.D. (OWNER)
(413) 827-8959
Entity
Organization

Contact information

Practice address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 827-8959
(413) 827-7015
Mailing address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 827-8959
(413) 827-7015

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1309862
MA
Enumeration date
07/12/2006
Last updated
08/22/2020
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