| NPI | 1912670647 |
|---|---|
| Doing Business As | PATH 5PALMS PROFESSIONAL GROUP |
| Entity Type | Organization |
| Authorized Contact | FLORA SADRI-AZARBAYEJANI President And Secretary 413-522-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 163W00000X Registered Nurse | |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |