| NPI | 1245972884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN MCARDLE Director Of Finance 774-991-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-10-12 |