| NPI | 1134637812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRA HARRIS Licensed Mental Health Counselor 413-276-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2021-08-18 |