NPI | 1720568157 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA D THOMPSON CEO, Executive Director 413-221-4625 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1020713) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 813) |
Enumeration Date | 2018-08-15 |
Last Update Date | 2022-01-13 |