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 |