| NPI | 1790298719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA TEW Co Director 413-341-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 119380) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |