| NPI | 1366650301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRINKMAN President 508-890-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 1676) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |