| NPI | 1164816534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE COSTA Exec. Dir. Of Inpatient Services 508-982-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |