| NPI | 1073818092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L BRASIER President 508-579-3452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 226380) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MA 226380) |
| Enumeration Date | 2011-01-22 |
| Last Update Date | 2011-01-22 |