| NPI | 1104830934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L CARROLL Social Worker 413-584-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: MA 210917) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |