| NPI | 1962185538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINDA TURKSON CEO 774-239-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2026-06-11 |