| NPI | 1184492555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE HUNTER Dispensing Nurse Non Exempt L C 508-333-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |