| NPI | 1417670878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SUE ROOKLIN Clinical Director 617-888-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-28 |