| NPI | 1104469592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ROSS ESCOBAR Co CEO & COO 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 | 2025-03-13 |