| NPI | 1326811506 |
|---|---|
| Former Legal Business Name | METANOIA RECOVERY COLLECTIVE, LLC |
| Entity Type | Organization |
| Authorized Contact | LISA MARIE NASHAWATY Consultant/President 617-690-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2024-05-31 |