Provider Demographics
NPI:1629529011
Name:SIRACUSA ASSOCIATES BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:SIRACUSA ASSOCIATES BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIRACUSA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:413-458-9600
Mailing Address - Street 1:681 SIMONDS RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2105
Mailing Address - Country:US
Mailing Address - Phone:413-458-9600
Mailing Address - Fax:413-458-4028
Practice Address - Street 1:681 SIMONDS RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2105
Practice Address - Country:US
Practice Address - Phone:413-458-9600
Practice Address - Fax:413-458-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health