Organization
GBAC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN CAULFIELD (EXECUTIVE DIRECTOR)
(617) 504-2304
Entity
Organization
Contact information
Practice address
322 RESERVOIR ST, NEEDHAM, MA 02494-3169
(617) 504-2304
Mailing address
322 RESERVOIR ST, NEEDHAM, MA 02494-3169
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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