| NPI | 1003569880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA VIVENZIO LLC Owner 413-531-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-14 |