| NPI | 1336684810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYCELLE MONSANTO PEQUET Director 413-279-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 119026) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |