| NPI | 1619181880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIRY F. HALL Medical Director 617-373-7523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: MA 254638) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |