| NPI | 1174831358 |
|---|---|
| Doing Business As | HENRY LEE WILLIS CENTER |
| Entity Type | Organization |
| Authorized Contact | LISA ANNE SANSOUCY Clinician 508-799-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MA 6707) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |