| NPI | 1336458439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN STANTON MAYFIELD President 617-794-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MA 78250) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |