| NPI | 1235180415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE TYLER Director Of Outpatient Services 508-679-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MA 4RC4) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2022-02-17 |