| NPI | 1063859742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CAREY Director 508-765-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 2432) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |