| NPI | 1407991409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY VAN ALST Chief Operating Officer 978-459-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MA 0554) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MA 0211) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MA 0282) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-12-14 |