| NPI | 1205211414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA MARIE WOODGETT Clinician Or Counselor 978-652-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X (Licence: MA 101YA0400X) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2016-07-26 |