| NPI | 1306402649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CROCKETT Owner, Counselor 978-979-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-06-11 |