| NPI | 1932616141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER PHINNEY Chief Operating Officer 508-771-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |