| NPI | 1689392987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ADAM PETRILLO Owner 978-788-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |