| NPI | 1255920880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DESCOTEAUX President 508-599-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-19 |