NPI | 1962990283 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE E STEELE-WREN Owner 413-200-0436 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 10542) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2018-04-23 |