NPI | 1669773016 |
---|---|
Entity Type | Organization |
Authorized Contact | CILORENE I WEEKES-CABEY Nurse Practice Administrator 617-665-3638 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MA 159828) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2010-11-16 |