| NPI | 1922861145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L WILSON CEO And Co Founder 413-221-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |