| NPI | 1083733307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNE DISTEFANO Executive Director 978-683-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2015-04-09 |