| NPI | 1811618812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIA MALCOLM Counselor 2 C 413-312-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |