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Addiction Substance Use Disorder

Westfield, Massachusetts

Provider NPI: 1912980251

Organization Information:
Organization is not Subpart
Authorized Official:  AMY  GARRON  BILLING SUPERVISOR  413-4851306

Practice Location:
Tel: 413-568-6600  Fax: 413-562-8360

Business Mailing Address:
Tel: 413-485-1306  Fax: 413-562-8360

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Addiction (Substance Use Disorder)
N163WA0400XNursing Service Providers
Registered Nurse
N164W00000XNursing Service Providers
Licensed Practical Nurse
Internal Medicine
Y261QM2800XAmbulatory Health Care Facilities

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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