| NPI | 1124425913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA A PASTERCZYK Credentialing Manager 413-534-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116810) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 7295) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |