| NPI | 1639240393 |
|---|---|
| Other Name | FQHC FACILITY |
| Entity Type | Organization |
| Authorized Contact | GUALE VALDEZ President & Chief Executive Officer 617-898-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-04-29 |