| NPI | 1225469869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KADIS Executive Director 617-877-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |