| NPI | 1235939927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCESITA SCAMMON Program Manager 413-213-2918 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |