| NPI | 1407272743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT HEINES SCHAGEN Sole Member And Manager 413-443-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MA 611) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |