| NPI | 1902195464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE KIMBALL President 413-530-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 195411) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |