| NPI | 1235387879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN A. OSHLAG Vice President Of Operations 508-860-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MA 4684) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |