| NPI | 1154489615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO D BAYOG Psychiatrist 508-698-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MA 40818) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-06-18 |