| NPI | 1730403155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MUZZY Clinic Director 978-774-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MA 110333) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |