| NPI | 1487608485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ANN ELLIS Chief Operating Officer 508-792-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-11-19 |