NPI | 1962435933 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE M. ALMOND Chief Executive Officer 508-679-8111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MA 4131) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2006-07-09 |
Last Update Date | 2015-07-25 |