| NPI | 1467737288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. BROWN Program Director/Ccs 617-288-1584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MA 230453990730000) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |