| NPI | 1831359603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE SIMONE President 413-536-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 11795) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1181) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2013-03-05 |