| NPI | 1104229574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY WENTWORTH Controller 978-373-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA 000003634) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-12-23 |