| NPI | 1952307530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WEST LEVINE CEO 978-937-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4VAC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: MA 4VAC) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2024-05-21 |