| NPI | 1346276367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FOSTER Director Of Out Patient Services 413-827-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MA 5502) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |