| NPI | 1861097115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE TROTTER Chief Executive Officer 508-865-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2025-03-27 |