| NPI | 1457957110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WEST LEVINE Chief Executive Officer 978-746-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |