| NPI | 1871877340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DUVAL Director Of Third Party Billing 413-582-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |