National Provider Identifier Database

CHARLES RIVER OPTIMAL WELLNESS 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

CHARLES RIVER OPTIMAL WELLNESS, LLC
75 NORUMBEGA RD
WESTON, MA02493-2431
Phone: 781-557-4831
Fax: 508-302-3074
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for CHARLES RIVER OPTIMAL WELLNESS, LLC

NPI Number 1952034126
Legal business name
LBN
CHARLES RIVER OPTIMAL WELLNESS, LLC
Authorized official PAULA LILLEY - (DIRECTOR, FINANCIAL OPERATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 07/06/2022
Last updated 07/06/2022 - About 4 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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