| NPI | 1902181654 |
|---|---|
| Other Name | EDWINA MARTIN HOUSE |
| Entity Type | Organization |
| Authorized Contact | JUDITH M MCDONOUGH Executive Director 508-583-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MA 0201) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |