Provider First Line Business Practice Location Address:
PROVIDENCE BEHAVIORAL HEALTH HOSPITAL
Provider Second Line Business Practice Location Address:
1233 MAIN STREET
Provider Business Practice Location Address City Name:
HOLYOKE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-536-5111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2006