| NPI | 1770933509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANNE POND Behavioral Therapist 508-277-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 2374) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |