| NPI | 1336987122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CROALL Owner/ CEO 413-231-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2025-04-10 |