| NPI | 1689092595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WEST LEVINE CEO 978-322-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4VAC) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2018-09-10 |