Cleanslate Centers, Llc

LBN: Cleanslate Centers, Llc
Cleanslate Centers, Llc is an health care organization with primary practice located at 82 Main St , West Springfield MA 01089-3942. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Cleanslate Centers, Llc can be contacted via phone (413) 788-0100, or through Wilson, Amanda L via phone (413) 788-0100.

Contact Information

Primary practice address
82 Main St West Springfield MA 01089-3942
Phone: (413) 788-0100
Fax: (413) 736-1813
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Amanda L Doctor of Medicine (MD)
Phone: (413) 788-0100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X

Profile Details

NPI number 1629398433
LBN Legal business name Cleanslate Centers, Llc
DBA Doing business as
Authorized official Wilson, Amanda L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2010
Last updated Jun 9th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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