NPI | 1750737391 |
---|---|
Entity Type | Organization |
Authorized Contact | OMAR GAMAL REID President 413-391-1983 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 41DR) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2016-05-13 |