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 |