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Self
Adolescent and Children Mental Health Clinic/Center in Springfield, Massachusetts
NPI 1568814390

Self is an Adolescent and Children Mental Health Clinic/Center based in Springfield, MA and is specialized in Adolescent and Children Mental Health. Self practices in Springfield, MA. The NPI Number for Self is 1568814390 and holds a License No. (Massachusetts).

The current practice location address for Self is 19 Merrick Ave Apt 1, Springfield, MA and can be reached out via phone at 413-244-5624.

Location: 19 Merrick Ave Apt 1, Springfield, MA, 01109-4324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568814390
Provider Name
Self
Credential
Provider Entity Type
Organization
Address
19 Merrick Ave Apt 1, Springfield, MA, 01109-4324
Phone Number
413-244-5624
Fax Number
Provider Enumeration Date
07/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19 Merrick Ave Apt 1
City
Springfield
State
Massachusetts
Zip
01109-4324
Phone Number
413-244-5624
Fax Number
person
Provider Business Mailing Address Details
Address
19 Merrick Ave Apt 1
City
Springfield
State
Massachusetts
Zip
01109-4324
Phone Number
413-244-5624
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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