Provider First Line Business Practice Location Address:
417 LIBERTY ST
Provider Second Line Business Practice Location Address:
BEHAVIORAL HEALTH NETWORK, INC.
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01104-3736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-301-9431
Provider Business Practice Location Address Fax Number:
413-536-2760
Provider Enumeration Date:
12/08/2011