Granada House, Inc. | |
70 Adamson St Allston MA 02134-1306 | |
(617) 254-2923 | |
(617) 787-3820 |
Full Name | Granada House, Inc. |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 70 Adamson St, Allston, Massachusetts |
Authorized Official Name and Position | Vijay Dalal (PRESIDENT/CEO) |
Authorized Official Contact | 6172542923 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Granada House, Inc. 70 Adamson St Allston MA 02134-1306 Ph: (617) 254-2923 | Granada House, Inc. 70 Adamson St Allston MA 02134-1306 Ph: (617) 254-2923 |
NPI Number | 1275032369 |
---|---|
Provider Enumeration Date | 02/05/2018 |
Last Update Date | 10/22/2021 |
Certification Date | 10/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275032369 | NPI | - | NPPES |
0269 | Other | MA | RESIDENTIAL REHABILITATION SERVICES LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0269 (Massachusetts) | Primary |
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