| Gandara Mental Health Center | |
|
147 Norman St West Springfield MA 01089-5003 | |
| (413) 736-8329 | |
| Not Available |
| Full Name | Gandara Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 147 Norman St, West Springfield, Massachusetts |
| Authorized Official Name and Position | Henry J East-trou (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4137368329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gandara Mental Health Center 147 Norman St West Springfield MA 01089-5003 Ph: (413) 736-8329 | Gandara Mental Health Center 147 Norman St West Springfield MA 01089-5003 Ph: (413) 736-8329 |
| NPI Number | 1982900163 |
|---|---|
| Provider Enumeration Date | 02/04/2011 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982900163 | NPI | - | NPPES |
| M18463 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 1307576 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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