| NPI | 1316324650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J KERRIGAN CEO/President 508-854-2122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: MA 4039) |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-01-31 |