National Provider Identifier Database

GBAC LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

GBAC, LLC
322 RESERVOIR ST
NEEDHAM, MA02494-3169
Phone: 617-504-2304
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for GBAC, LLC

NPI Number 1649863457
Legal business name
LBN
GBAC, LLC
Authorized official RYAN CAULFIELD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/12/2021
Last updated 02/12/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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