| NPI | 1205369014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERINA RODRIGUEZ Family Support Worker 413-233-8742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |