| NPI | 1285053512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM M MIROT Manager 413-592-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 79115) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-09-25 |