| NPI | 1174933139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE RODRIGUEZ Third Party Operations Manager 413-737-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |