| NPI | 1275714149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES I MANDEL President 413-442-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA MA2430) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |