Henry Lee Willis Community Center, INC
NPI #1649344821 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1649344821
- Entity Type
- Organization
- Organization Name
- Henry Lee Willis Community Center, INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 44 FRONT ST
- Address 2
- SUITE 480
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01608-1733
- Phone
- (508) 799-2934
Authorized Official
- Name
- MR. CARLTON A WATSON
- Title
- PRESIDENT
- Phone
- (508) 799-0702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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