| NPI | 1669257812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ELLIOTT Director Of Operations 978-774-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-01-10 |