Self
Self provides Adolescent and Children Mental Health Clinic/Center services in Springfield, Massachusetts. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
19 Merrick Ave Apt 1Springfield, MA 01109-4324 Not confirmed with CMS for 10 years — call before visiting
Phone: (413) 244-5624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|
Record details
| NPI number | 1568814390 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Luis Rivera — Counselor · (413) 244-5624 |
| NPI enumerated | July 5, 2016 |
| Last updated in NPPES | July 5, 2016 |
| Mailing address | 19 Merrick Ave, Springfield, MA 01109-4324 |
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