| NPI | 1225804552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BURO Manager 781-367-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-11-06 |