| NPI | 1245615046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PEARSALL President 508-951-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |