Provider First Line Business Practice Location Address:
227 MILL ST
Provider Second Line Business Practice Location Address:
PROVIDENCE BEHAVIORAL HEALTH HOSPITAL
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-747-9070
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2007