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Organization

DEPARTMENT OF MENTAL HEALTH

Active
Other names
HAMPSHIRE CM
Organization subpart
No

Provider details

NPI number
Authorized official
MARC LEIBOWITZ (SITE DIRECTOR)
(413) 586-5300
Entity
Organization

Contact information

Practice address
1 PRINCE ST, HAMPSHIRE CM, NORTHAMPTON, MA 01060
(413) 586-5300
Mailing address
25 STANIFORD ST, BOSTON, MA 02114-2503
(617) 626-8040

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1802259
MA
Enumeration date
04/09/2007
Last updated
07/18/2007
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