NPI | 1134589708 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WALKER EDMONSTONE Licensed Independent Clinical Soc 413-586-0098 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 103484) |
Enumeration Date | 2016-02-25 |
Last Update Date | 2016-02-25 |