| NPI | 1639887409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GANEM Chief Executive Officer 617-435-9783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-03-01 |