| NPI | 1578817169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA SLOVIK Clinic Director 413-439-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MA 261QM0801X) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2012-11-03 |