Organization
R
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN NAKASINDE LADC1 (PRESIDENT)
(978) 872-0295
Entity
Organization
Contact information
Practice address
2 BRIDGE CIR, STE 8 NUMBER 181, TYNGSBOROUGH, MA 01879
(978) 872-0295
(978) 872-0295
Mailing address
2 BRIDGE CIR, STE 8 NUMBER 181, TYNGSBOROUGH, MA 01879
(978) 872-0295
(978) 872-0295
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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