| Km Behavioral Health Services Llc | |
|
48 Lyman St Granby MA 01033-3307 | |
| (413) 949-2420 | |
| Not Available |
| Full Name | Km Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 48 Lyman St, Granby, Massachusetts |
| Authorized Official Name and Position | Katelyn Manewich (OWNER) |
| Authorized Official Contact | 4139492420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Km Behavioral Health Services Llc 48 Lyman St Granby MA 01033-3307 Ph: () - | Km Behavioral Health Services Llc 48 Lyman St Granby MA 01033-3307 Ph: (413) 949-2420 |
| NPI Number | 1285474676 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285474676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Godbout & Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 670 Amherst Rd Bldg 2, Granby, MA 01033 Phone: 413-437-0310 |