| NPI | 1255215927 |
|---|---|
| Doing Business As | ENTER DBA NAME FOR YOUR FACILITY |
| Entity Type | Organization |
| Authorized Contact | NICOLE GUERTIN Chief Of Staff 413-774-4014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |