Healthcare Provider Details

I. General information

NPI: 1790795052
Provider Name (Legal Business Name): CUTCHINS PROGRAMS FOR CHILDREN AND FAMILIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 POMEROY TER
NORTHAMPTON MA
01060-3378
US

IV. Provider business mailing address

78 POMEROY TER
NORTHAMPTON MA
01060-3378
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-1310
  • Fax: 413-586-1490
Mailing address:
  • Phone: 413-584-1310
  • Fax: 413-586-1490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number4159
License Number StateMA

VIII. Authorized Official

Name: MR. ANDREW POLLOCK
Title or Position: EXECUTIVE DIRECTOR
Credential: MED
Phone: 413-584-1310