| Cleanslate Centers, Llc | |
|
82 Main St West Springfield MA 01089-3942 | |
| (413) 788-0100 | |
| (413) 736-1813 |
| Full Name | Cleanslate Centers, Llc |
|---|---|
| Speciality | Internal Medicine - Addiction Medicine |
| Location | 82 Main St, West Springfield, Massachusetts |
| Authorized Official Name and Position | Amanda L Wilson (OWNER) |
| Authorized Official Contact | 4137880100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleanslate Centers, Llc Po Box 32 Northampton MA 01061 Ph: (413) 788-0100 | Cleanslate Centers, Llc 82 Main St West Springfield MA 01089-3942 Ph: (413) 788-0100 |
| NPI Number | 1629398433 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629398433 | NPI | - | NPPES |
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