| NPI | 1962809434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA M BARBER President/CEO 413-693-1007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: MA 4940) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 4940) |
| 1223G0001X Dentist General Practice (Licence: MA 4940) | |
| 133NN1002X Nutritionist Nutrition, Education (Licence: MA 4940) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 4940) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MA 4940) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MA 4940) | |
| 363AM0700X Physician Assistant Medical (Licence: MA 4940) | |
| 363L00000X Nurse Practitioner (Licence: MA 4940) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2023-03-22 |