NPI | 1730684275 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LEE HOULIHAN Excutive Assistant 508-477-7090 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: MA 4WAE) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2018-03-27 |