| NPI | 1609842152 |
|---|---|
| Former Legal Business Name | GREAT BROOK VALLEY HEALTH CENTER, INC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN J. KERRIGAN President & CEO 508-854-2122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4039) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2023-01-31 |