| NPI | 1831547199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MCDONALD Office Manager 617-302-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2021-05-13 |