| NPI | 1528338738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNETTE L CAPEHART RN 617-665-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MA 22917) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |