| NPI | 1962980250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J BURNS Owner, Ladc 508-991-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 10381) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |