| NPI | 1184759433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ROBIDEAU Clinical Director 508-620-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MA 0762) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2024-10-15 |