| NPI | 1497897250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PUTNAM Director Of Program Development 617-983-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0796) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |