| NPI | 1194446476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BOUDREAU Chief Of Staff 617-839-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-08-30 |