| NPI | 1588616742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WROTEN Executive Director 508-771-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health (Licence: MA 410W) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-04-16 |