| NPI | 1386909588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAPHA DAOUADI Resident 413-230-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: PA MT202937) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |