| NPI | 1891200770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MICHELLE SHAW-SMITH Solo Clinical Social Worker 413-582-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MA 113030) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |