| NPI | 1912390345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MCCOY CEO 508-857-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |