| NPI | 1003704503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF CHASEN CEO 617-905-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |