NPI | 1386456853 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK JENKINS President 413-505-7055 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-01-22 |
Last Update Date | 2025-01-22 |