| NPI | 1982432688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK P. COLLETT Partner/Counselor 508-485-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-26 |