| NPI | 1740419563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE CONSTANTINE MITCHELL President 508-238-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MA 38174) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |