| NPI | 1124797931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DEBERARDINIS Director Of Ur 781-799-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2024-09-13 |