NPI | 1013048347 |
---|---|
Former Legal Business Name | GREAT BROOK VALLEY HEALTH CENTER, INC |
Entity Type | Organization |
Authorized Contact | STEPHEN J KERRIGAN President & CEO 508-854-2122 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MA 495) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2019-11-27 |