| NPI | 1164295390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW O'MALLEY Executive Director 781-835-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |