NPI | 1740787340 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA SIERRA Chief Executive Officer 617-404-4101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4801) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2023-03-03 |