| NPI | 1649658741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA IMELDA FITZPATRICK Clinician 617-892-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MA 220519) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |