| NPI | 1770651242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN SOUZA-SIMAS Executive Director 508-991-7487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0826) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |