NPI | 1225237621 |
---|---|
Doing Business As | INDIGO BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | DAMION P SMITH President 781-388-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2007-07-16 |