| NPI | 1548768989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A GERMAN Executive Director 508-746-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0257) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |