NPI | 1295268092 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA M LYNCH President 978-364-0214 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MA 114584) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2017-04-07 |