| NPI | 1629103783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MCELENEY Director Of Accounting 781-581-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 0546) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |