NPI | 1699774646 |
---|---|
Entity Type | Organization |
Authorized Contact | KARIN BERNARD Project Manager 978-689-6683 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4943) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2020-04-28 |