| NPI | 1063123271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SIERRA Chief Executive Officer 617-404-4102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-03-03 |