| NPI | 1245204528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY L VANDENHEUVEL Director 617-953-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 209071) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-09-29 |