Organization · Type 2 NPI

Cleanslate Centers, LLC

Addiction Medicine (Internal Medicine) Physician · West Springfield, MA

NPI number 1629398433 Active

Practice location

82 Main St
West Springfield, MA 01089-3942

Fax (413) 736-1813

Mailing address

PO Box 32
Northampton, MA 01061

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Social Worker 104100000XNone listed
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401XNone listed

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

3 other providers at this address

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About NPI 1629398433

Cleanslate Centers, LLC's National Provider Identifier is 1629398433, issued on Jun 3, 2010. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in West Springfield, MA. The record was last updated on Jun 9, 2010.