| 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 |