| NPI | 1518155860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD GARDNER RICE President 508-595-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 35949) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |