Cleanslate Centers, LLC
NPI #1629398433 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1629398433
- Entity Type
- Organization
- Organization Name
- Cleanslate Centers, LLC
- Primary Specialty
- Internal Medicine - Addiction Medicine
- Enumeration Date
- Jun 3, 2010
- Last Updated
- Jun 9, 2010
Practice Location
- Address
- 82 MAIN ST
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01089-3942
- Phone
- (413) 788-0100
Authorized Official
- Name
- MS. AMANDA L WILSON, MD
- Title
- OWNER
- Phone
- (413) 788-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker |
| Psychiatry & Neurology - Addiction Medicine — Addiction Medicine |
| Internal Medicine - Addiction Medicine — Addiction Medicine |
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