| NPI | 1679094684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN MCARDLE Authorized Official 617-302-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-06-09 |