| NPI | 1972021061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BROWNE Executive Director 617-208-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |