| NPI | 1477742039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HOPE BRUCE Fee For Service Clinician 781-581-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MA 1029 AD) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |