| NPI | 1093609695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHECCI Billing 978-852-7099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-10-21 |