| NPI | 1013283134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA H. ELLSMORE Clinician 617-661-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |