| NPI | 1306902861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS KLEIMAN VP Clinical Services 781-388-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 213) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113874) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |