| Grant Bialek Licsw Llc | |
|
66 Sugarloaf St South Deerfield MA 01373-1144 | |
| (413) 453-9210 | |
| Not Available |
| Full Name | Grant Bialek Licsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 66 Sugarloaf St, South Deerfield, Massachusetts |
| Authorized Official Name and Position | Grant D Bialek (OWNER) |
| Authorized Official Contact | 4134539210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Bialek Licsw Llc 66 Sugarloaf St South Deerfield MA 01373-1144 Ph: () - | Grant Bialek Licsw Llc 66 Sugarloaf St South Deerfield MA 01373-1144 Ph: (413) 453-9210 |
| NPI Number | 1881336162 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881336162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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