Organization
CENTER FOR HUMAN DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GOODWIN (PRESIDENT CEO)
(413) 429-2247
Entity
Organization
Contact information
Practice address
332 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
(413) 733-6624
(413) 439-2109
Mailing address
332 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
(413) 733-6624
(413) 439-2109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MA
101YM0800X
Mental Health Counselor
—
MA
103T00000X
Psychologist
—
MA
103TC2200X
Clinical Child & Adolescent Psychologist
—
MA
1041C0700X
Clinical Social Worker
—
MA
106H00000X
Marriage & Family Therapist
—
MA
251S00000X
Community/Behavioral Health Agency
Primary
4168
MA
251S00000X
Community/Behavioral Health Agency
4538
MA
252Y00000X
Early Intervention Provider Agency
—
MA
261QA0600X
Adult Day Care Clinic/Center
—
MA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
4168
MA
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/28/2006
Last updated
12/02/2013
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