| NPI | 1528363744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY RUSSETT Business Manager 413-540-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1142610) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |