| NPI | 1457385460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA GENDREAU Billing Operations Manager 413-310-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-03-26 |