NPI | 1790996619 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN ANN MARTIN Lifeline Clinician 508-674-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution (Licence: MA 5756) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |