| NPI | 1982607537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A BARTLETT CEO 508-992-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MA 4005) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-02-19 |