| NPI | 1053913525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA OVERBY Administrative Director 413-270-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2022-11-21 |