| NPI | 1437607934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SANTOS Clinician 413-316-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1411) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |