| NPI | 1326550435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE I GODEREZ Owner 413-582-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MA 50762) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2024-02-15 |