| Northern Educational Services, Inc, | |
|
736 State St Springfield MA 01109-4110 | |
| (413) 787-2101 | |
| (413) 737-4324 |
| Full Name | Northern Educational Services, Inc, |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 736 State St, Springfield, Massachusetts |
| Authorized Official Name and Position | Norma Baker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4137332238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Educational Services, Inc, 736 State St Springfield MA 01109-4110 Ph: (413) 787-2101 | Northern Educational Services, Inc, 736 State St Springfield MA 01109-4110 Ph: (413) 787-2101 |
| NPI Number | 1134366487 |
|---|---|
| Provider Enumeration Date | 01/08/2009 |
| Last Update Date | 01/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134366487 | NPI | - | NPPES |
| 1307401 | Medicaid | MA | |
| 1508077942 | Other | MA | MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0604 (Massachusetts) | Primary |
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