| NPI | 1861146540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE ENRIQUEZ Owner 413-231-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |