| NPI | 1013778216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M SMITH Executive Director 781-386-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |