| NPI | 1568814390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS RIVERA Counselor 413-244-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |