| NPI | 1588053086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE DUGGAN Social Worker 617-726-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 117535) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-23 |