| NPI | 1134956071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DEMALIA President, CEO 774-312-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |