| NPI | 1700385192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRUCE FRUTKIN Vice President Of Clinical Services 413-582-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0216) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-03-17 |