| NPI | 1316165517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M GARCIA Director 508-235-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MA 2107) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |