| NPI | 1013674217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA NASHAWATY CEO 617-690-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |