| NPI | 1689398786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDDY MTANGO Director Of Business Development 978-922-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |