| Alc Corp | |
|
57 Maplewood Ave Pittsfield MA 01201-4753 | |
| (413) 446-6311 | |
| Not Available |
| Full Name | Alc Corp |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 57 Maplewood Ave, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Paul Suptanowicz (OWNER) |
| Authorized Official Contact | 4134466311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alc Corp 57 Maplewood Ave Pittsfield MA 01201-4753 Ph: (413) 446-6311 | Alc Corp 57 Maplewood Ave Pittsfield MA 01201-4753 Ph: (413) 446-6311 |
| NPI Number | 1255974663 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 10/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255974663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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