| NPI | 1952925984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTIAN CEO 617-620-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2021-09-13 |