| NPI | 1922684034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GOODE Owner 508-717-2827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-01-25 |