| NPI | 1366796278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MORIARTY Dietitian 413-374-2398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MA 01011573) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |