| NPI | 1346025467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOBEIDA MEDERO Director Of Recovery Services 617-910-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-30 |