| NPI | 1871074104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI WEDGE Owner/Alcohol And Drug Counselor 978-360-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 17280) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-08-11 |