| NPI | 1033928809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR MCCARTHY President 617-894-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-08 |