| NPI | 1841309051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT N. GAEV Medical Director 413-567-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 76592) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |