| NPI | 1598340796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAMS Co Founder 781-330-2124 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |