| NPI | 1629528492 |
|---|---|
| Other Name | METHADONE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | KERRY J OLLEN CFO, SVP Finance 617-371-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MA 0635) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |