NPI | 1649815069 |
---|---|
Other Name | BRIEN ADH -FALLON |
Entity Type | Organization |
Authorized Contact | JAMES VINCENT IMPRESCIA Director Revenue Cycle Mgmt 413-629-1131 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2019-11-08 |
Last Update Date | 2022-12-09 |