| NPI | 1689254898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHRAY GEBREMICHAEL Registered Nurse 617-318-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |