NPI | 1003954983 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDI SHAW WHITEMAN Clinic Director 413-773-3608 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 112000) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2020-08-22 |