| NPI | 1073161881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE IGWEOBI Executive Director 508-340-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |