| NPI | 1619927233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALCZAK CEO 617-425-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-04-29 |