| NPI | 1255638318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HAUGHN Office Manager 508-927-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |