| NPI | 1548874514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA SANTIAGO Clinical Director 413-206-8469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-09-07 |