Provider First Line Business Practice Location Address:
120 MAPLE STREET
Provider Second Line Business Practice Location Address:
CARSON CENTER FOR HUMAN SERVICES
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-737-3730
Provider Business Practice Location Address Fax Number:
413-572-4117
Provider Enumeration Date:
10/20/2010