| NPI | 1649944026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA LEE THOMPSON Owner 978-518-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |