NPI | 1922096049 |
---|---|
Entity Type | Organization |
Authorized Contact | ADNAN M DAHDUL Owner/CEO/Officer 413-301-6019 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
111N00000X Chiropractor | |
207R00000X Internal Medicine | |
225100000X Physical Therapist | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2005-10-12 |
Last Update Date | 2024-09-26 |