Provider Demographics
NPI:1487468864
Name:BOSTON ADDICTION, LLC
Entity type:Organization
Organization Name:BOSTON ADDICTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SABATINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-548-6625
Mailing Address - Street 1:194 NEWBURY ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2421
Mailing Address - Country:US
Mailing Address - Phone:978-548-6625
Mailing Address - Fax:
Practice Address - Street 1:194 NEWBURY ST UNIT B
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2421
Practice Address - Country:US
Practice Address - Phone:978-548-6625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility