NPI | 1811351935 |
---|---|
Entity Type | Organization |
Authorized Contact | JAIME SANTIAGO Clinical Director 413-433-3280 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MA 8229) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2016-04-06 |