| NPI | 1518261874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN SCOTT FAGEN President 413-584-8339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 6793) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2011-04-26 |