NPI | 1558181487 |
---|---|
Doing Business As | CHP GREAT BARRINGTON DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | BETHANY KIELEY CEO 413-528-9311 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-10-15 |
Last Update Date | 2024-10-15 |