NPI | 1811216088 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER CHUTKOWSKI Member/Manager 413-592-3748 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: MA 8415) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2010-05-26 |