| NPI | 1154655843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA LEWIS Clinic Director 413-747-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 616969) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |