| NPI | 1750337333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON VANDERVELDEN Chief Executive Officer 413-325-8500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: MA 48ZB) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 48ZB) |
| 101YM0800X Counselor, Mental Health (Licence: MA 48ZB) | |
| 1223G0001X Dentist, General Practice (Licence: MA 48ZB) | |
| 207Q00000X Family Medicine (Licence: MA 48ZB) | |
| 207R00000X Internal Medicine (Licence: MA 48ZB) | |
| 208000000X Pediatrics (Licence: MA 48ZB) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-11-15 |