| NPI | 1710214853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O PERI-OKONNY Executive Director 508-459-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA CLIA22D1062782) |
| Additional Taxonomies | 174400000X Specialist |
| 174H00000X Health Educator | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |