| NPI | 1659476356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA M. BARBER President/CEO 413-693-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4940) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 4940) |
| 136A00000X Dietetic Technician, Registered (Licence: MA 4940) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-03-22 |