| 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 |