| NPI | 1710722707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUNEKE UNEKE Executive Director 508-969-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |