| NPI | 1457729741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR FARUK CEO 413-271-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 223674) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 251B00000X Case Management | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2020-06-02 |