| Habit Opco | |
|
2257 Main St Springfield MA 01107-1905 | |
| (413) 733-3488 | |
| Not Available |
| Full Name | Habit Opco |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2257 Main St, Springfield, Massachusetts |
| Authorized Official Name and Position | Teodoro Carmelo Melendez (CLINICIAN) |
| Authorized Official Contact | 4137333488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Habit Opco 2257 Main St Springfield MA 01107-1905 Ph: (413) 733-3488 | Habit Opco 2257 Main St Springfield MA 01107-1905 Ph: (413) 733-3488 |
| NPI Number | 1457786808 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 09/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457786808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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