| NPI | 1962243345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CLAYTON FORESTA Founder 413-883-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-01 |