| NPI | 1386718823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA T NEWSOM SVP, CFO 617-414-2693 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: MA V112) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-07-12 |