| The Key Program, Incorporated. | |
|
576 State St Springfield MA 01109-4104 | |
| (413) 781-6485 | |
| (413) 788-6925 |
| Full Name | The Key Program, Incorporated. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 576 State St, Springfield, Massachusetts |
| Authorized Official Name and Position | William George Lyttle (PRESIDENT) |
| Authorized Official Contact | 5088773690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Key Program, Incorporated. 670 Old Connecticut Path Framingham MA 01701-4548 Ph: (508) 877-3690 | The Key Program, Incorporated. 576 State St Springfield MA 01109-4104 Ph: (413) 781-6485 |
| NPI Number | 1306446059 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306446059 | NPI | - | NPPES |
| 1306839 | Medicaid | MA | |
| M17759 | Other | MA | BLUE CROSS BLUE SHIELD |
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