| NPI | 1114348810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY RAU TALBOT Founder 413-224-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1184) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MA 218451) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2014-01-28 |