| NPI | 1528723665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY GOLDBERG Executive Director 617-820-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |