| NPI | 1730557018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR FARUK CEO 413-271-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MA 223674) |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2019-11-18 |