| NPI | 1770817272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S MUMBAUER President / CEO 508-997-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 214777) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |