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Organization

THE ASSOCIATION FOR COMMUNITY LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD J. FLETCHER (EXECUTIVE DIRECTOR)
(413) 732-0531
Entity
Organization

Contact information

Practice address
1 CARANDO DR STE 2, SPRINGFIELD, MA 01104-3211
(413) 732-0531
(413) 732-1168
Mailing address
1 CARANDO DR STE 2, SPRINGFIELD, MA 01104-3211
(413) 732-0531
(413) 732-1168

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
004021
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1906631
MASSHEALTH
MA
Enumeration date
02/20/2008
Last updated
02/20/2008
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