| NPI | 1720313315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L GARDNER CEO 508-539-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: MA 4WAE) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |