| NPI | 1639938426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY LIGONDE Clinic Director 617-971-6941 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |