| NPI | 1386976199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M. SMITH Clinician 508-674-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |