| NPI | 1407347446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WEST LEVINE CEO 978-746-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4VAC) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |