| NPI | 1619266079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL S. VALENTINE President & CEO 617-783-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: RI ACF01604) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |