| NPI | 1538914494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE CHARISSE HOLLINS Nurse Practitioner 978-412-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-05-30 |