| NPI | 1255974663 |
|---|---|
| Doing Business As | ALC OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | PAUL SUPTANOWICZ Owner 413-446-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |