NPI | 1104469592 |
---|---|
Doing Business As | JANA'S PLACE |
Entity Type | Organization |
Authorized Contact | COURTNEY ROSS Chief Operating Officer 617-312-0848 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2019-10-18 |
Last Update Date | 2020-03-04 |