| NPI | 1306599493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED MARTIN Clinical Social Worker 413-657-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-02-09 |