| NPI | 1184981284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDIA DOWNEY Executive Director 617-892-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MA 0817) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-05-17 |