| NPI | 1447792098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY GRANT THOMAS Owner Physician 978-873-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MA MA238462) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |