| NPI | 1710709639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED STANLEY Executive Director 781-382-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |