| NPI | 1275032369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY DALAL President/CEO 617-254-2923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0269) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2021-10-22 |