| NPI | 1073906178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM MCCOY CEO 508-857-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |