| NPI | 1568269504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM DAVID STEELE Director Of Billing 781-366-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2026-03-11 |