| NPI | 1154544880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD ALLEN Sa Clinician 508-586-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |