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NPI Code Detail

MEDICARE: ZEPHYR BEHAVIORAL HEALTHCARE LLC

MEDICARE: ZEPHYR BEHAVIORAL HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD1600XDevelopmental Disabilities Clinic/Center
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1609485606
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZEPHYR BEHAVIORAL HEALTHCARE LLC
Provider Business Mailing Address
First Line : 181 FRIZZELL HILL RD
Second Line :
City : LEYDEN
State : MA
Zip : 01337-9486
Country : US
Telephone Number : 413-522-5492
Fax Number :
Provider Business Practice Location Address
First Line : 62 MAIN ST BLDG 2-3U
Second Line :
City : HATFIELD
State : MA
Zip : 01038-7920
Country : US
Telephone Number : 413-247-6364
Fax Number : 413-247-6163
Authorized Official
Title or Position : FOUNDER
Name : LIZA ASHLEY
Credential :
Telephone Number : 413-247-6364
Provider Enumeration Date : 07/26/2020
Last Update Date : 12/27/2021

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Directions to “ZEPHYR BEHAVIORAL HEALTHCARE LLC ” Practice Location

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