| NPI | 1396906848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA FAVRE Director Of Health Services 978-665-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA 164930) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |