| NPI | 1184466393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY DAVIS Director 413-297-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 342000000X Transportation Network Company | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-03-28 |