| NPI | 1851444616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SALCINES Credentialing Assistant 413-377-6388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 4722) |
| 104100000X Social Worker | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-03-05 |