Academic & Behvioral Clinic, Inc. | |
155 Maple St Springfield MA 01105-1828 | |
(413) 747-0829 | |
(413) 747-7804 |
Full Name | Academic & Behvioral Clinic, Inc. |
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Speciality | Community/behavioral Health |
Location | 155 Maple St, Springfield, Massachusetts |
Authorized Official Name and Position | Sabrina Lewis (CLINIC DIRECTOR) |
Authorized Official Contact | 4137470829 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Academic & Behvioral Clinic, Inc. 155 Maple St Springfield MA 01105-1828 Ph: (413) 747-0829 | Academic & Behvioral Clinic, Inc. 155 Maple St Springfield MA 01105-1828 Ph: (413) 747-0829 |
NPI Number | 1154655843 |
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Provider Enumeration Date | 09/28/2009 |
Last Update Date | 09/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154655843 | NPI | - | NPPES |
337151 | Other | MA | DOE PRINCIPAL/ASSISTANT/ SCH SOC WRK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 616969 (Massachusetts) | Primary |
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