| NPI | 1366134199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DRISCOLL O'NEILL Executive Director 617-797-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |