| NPI | 1568616431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX C THAYER President 978-461-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA 6190) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |