| NPI | 1336919091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN M MORDINO CEO 617-435-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-02-26 |