| NPI | 1992159867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DAIGLE Director 413-427-5807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MA 6976) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-08-13 |