| NPI | 1225317191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA O'HAGAN Program Director 617-293-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MA 0237) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |