| NPI | 1396100863 |
|---|---|
| Former Legal Business Name | JOSEPH D. MANGINE, PH.D. |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DONALD MANGINE Owner 413-218-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 7370) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2021-01-13 |