| NPI | 1265065866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A HOWLAND Owner, Physician 774-226-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2021-03-08 |