| NPI | 1023651676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JEAN WASHINGTON CEO 774-704-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2025-02-28 |