| NPI | 1023848116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE BEHENNA Executive Director 617-949-1406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |