| NPI | 1285964783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L WILSON Partner 413-788-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 1030842) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-26 |