Organization
SERVICENET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABBAS HAMDEN (VICE PRESIDENT)
(413) 585-1300
Entity
Organization
Contact information
Practice address
355 FRONT ST, CHICOPEE, MA 01013-3120
(413) 585-1300
Mailing address
129 KING ST, NORTHAMPTON, MA 01060-3258
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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