Organization
SERVICENET INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRUCE FRUTKIN (VICE PRESIDENT OF CLINICAL SERVICES)
(413) 582-9507
Entity
Organization
Contact information
Practice address
53 BEACON ST, GREENFIELD, MA 01301-2004
(413) 772-6100
Mailing address
129 KING ST, NORTHAMPTON, MA 01060-3258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0216
MA
Other
Enumeration date
02/12/2018
Last updated
03/17/2018
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