NPI | 1215915400 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZA B. LAKE Executive Director 413-238-5511 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: MA 4950) |
251V00000X Voluntary or Charitable (Licence: 4950) | |
Enumeration Date | 2006-01-06 |
Last Update Date | 2017-05-18 |