NPI | 1992205207 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID A LANG Executive Director 508-872-6194 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MA 0274) |
Enumeration Date | 2018-02-14 |
Last Update Date | 2020-10-05 |