| NPI | 1700152758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J KERRIGAN President/CEO 508-854-2122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4039) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2023-01-25 |