| NPI | 1841528015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J KELLY President 617-993-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA CH3035) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |