| NPI | 1134978190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BELLIVEAU CEO 508-317-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-08-05 |