NPI | 1578247052 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN NICEWICZ CEO 413-281-3035 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0505X Family Medicine, Adult Medicine | |
207R00000X Internal Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-06-14 |