| NPI | 1578843421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KINCHLA Director Of Substance Abuse 508-879-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |