| NPI | 1073744611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA ROBERTS Administrative Manager 617-927-6479 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |