| NPI | 1821095779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEVY CFO 617-616-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: MA 0055170) |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: MA 440) |
| 332900000X Non-Pharmacy Dispensing Site (Licence: MA 2241367) | |
| 332900000X Non-Pharmacy Dispensing Site (Licence: MA 2241343) | |
| 332900000X Non-Pharmacy Dispensing Site (Licence: MA 2241355) | |
| 332900000X Non-Pharmacy Dispensing Site (Licence: MA 2241379) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2023-12-01 |