SELF

NPI # 

Practice Address:

19 Merrick Ave Apt 1

Springfield, MA, 01109-4324

Practice Phone:

413-244-5624

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Adolescent and Children Mental Health

Taxonomy Code:

261QM0855X

Updated by NPPES on 7/5/2016. You can view the original data set for NPI # 1568814390 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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SELF's

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