| NPI | 1578177598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GANEM Chief Operating Officer 617-435-9783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |