Organization
MSPCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JIMMERSON LSCSW (SITE MANAGER)
(413) 532-9446
Entity
Organization
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 532-9446
Mailing address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 532-9446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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