| NPI | 1467097279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN YUN PAO WILSON Owner 413-307-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |