| NPI | 1063266294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE ETIENNE Licensed Alcohol And Drug Counselor 617-615-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |