| NPI | 1184482499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MARIE KENDALL VP Of Clinical Operations 413-519-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |