| NPI | 1457786808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEODORO CARMELO MELENDEZ Clinician 413-733-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |