NPI | 1316446297 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFRED COLCORD BLAKE Executive Director 781-891-4323 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MA 0222) |
Enumeration Date | 2018-02-07 |
Last Update Date | 2018-02-07 |