| NPI | 1467210088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD FRANCIS SILVA Chief Executive Officer 781-534-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |