| NPI | 1215313051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRINE ANNE CORBETT Owner 978-880-8968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 7168) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: MA 7168) |
| 305R00000X Preferred Provider Organization (Licence: MA 7168) | |
| 305S00000X Point of Service (Licence: MA 7168) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |