| NPI | 1740209881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI LEMOINE Chief Executive Officer 617-912-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MA 4027) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-05-17 |