| NPI | 1932898913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CAULFIELD Billing 617-504-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2025-09-30 |