| NPI | 1770604472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PORTER Executive Director 617-541-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MA 324500000X) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-08-05 |