| NPI | 1750486106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BROWNE Executive Director 617-205-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4157) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-03-17 |