Provider First Line Business Practice Location Address: 
575 BEECH ST
    Provider Second Line Business Practice Location Address: 
HOLYOKE MEDICAL CENTER OP BEHAVIORAL HEALTH
    Provider Business Practice Location Address City Name: 
HOLYOKE
    Provider Business Practice Location Address State Name: 
MA
    Provider Business Practice Location Address Postal Code: 
01040-2223
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
413-534-2798
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
11/14/2006