| NPI | 1962257600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY GOLDBERG Executive Director 617-820-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |