| NPI | 1275334039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONY PAYNE Executive Director 978-548-7328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |