| NPI | 1740534775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JIMERSON Treasurer/Director Of Operations 413-636-5691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114156) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2016-03-16 |