| NPI | 1760108047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZANDRA S.W. KELLEY CEO 978-686-0090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2025-10-06 |