NPI | 1659644961 |
---|---|
Other Name | ANDREW HOUSE DETOX |
Entity Type | Organization |
Authorized Contact | KERRY J OLLEN SVP Finance, CFO 617-371-3000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-02-16 |
Last Update Date | 2021-05-25 |