| NPI | 1174142509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L MINEO Executive Vice President 413-224-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2022-06-09 |