| NPI | 1164634705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL F. KELLEHER Counselor Ii 413-827-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 2027398) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |