NPI | 1134553860 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK PAGLIA Chief Executive Officer 413-739-5626 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MA S78353970) |
Enumeration Date | 2013-08-29 |
Last Update Date | 2023-10-12 |