# HENRY LEE WILLIS COMMUNITY CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Willis Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649344821
- **Authorized official:** MR. CARLTON A WATSON (PRESIDENT)
- **Authorized official phone:** (508) 799-0702

## Contact information

- **Practice address:** 44 FRONT ST, SUITE 480, WORCESTER, MA 01608-1733
- **Practice address phone:** (508) 799-2934
- **Practice address fax:** (508) 770-1732
- **Mailing address:** 119 FOREST ST, WORCESTER, MA 01609-1529
- **Mailing address phone:** (508) 799-0702
- **Mailing address fax:** (508) 754-0245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0690 | MA | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 08/22/2020