| NPI | 1649075557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS SULLIVAN Founder / Treasurer 781-775-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-07-14 |