Organization · Type 2 NPI

Safe Exit Initiative (sei), Inc.

Substance Abuse Rehabilitation Facility · Worcester, MA

NPI number 1104469592 Active

Practice location

40 Mendon St
Worcester, MA 01604-4824

Call (508) 471-5868 Map

Mailing address

534 Cambridge St
Worcester, MA 01610-2646

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Hospital Unit	276400000X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse 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.

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NPI record

NPI: 1104469592
Entity type: Organization (Type 2)
Issued: Oct 18, 2019
Last updated: Mar 13, 2025
Status: Active

Other names

<unavail>
Jana's Place · doing business as
Living In Freedom Together, Inc. Lift · former legal business name

Authorized official

Courtney Ross Escobar, JD
Co-CEO & COO
(617) 312-0848

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104469592

Safe Exit Initiative (sei), Inc.'s National Provider Identifier is 1104469592, issued on Oct 18, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Worcester, MA. The record was last updated on Mar 13, 2025.