| NPI | 1366189623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA M BUSHMAN Owner 413-505-8914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |