| NPI | 1154600344 |
|---|---|
| Former Legal Business Name | GREAT BROOK VALLEY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN J KERRIGAN President/CEO 508-854-2122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2023-01-25 |