Organization
HENRY LEE WILLIS COMMUNITY CENTER, INC
Active
Other names
The Willis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLTON A WATSON (PRESIDENT)
(508) 799-0702
Entity
Organization
Contact information
Practice address
44 FRONT ST, SUITE 480, WORCESTER, MA 01608-1733
(508) 799-2934
(508) 770-1732
Mailing address
119 FOREST ST, WORCESTER, MA 01609-1529
(508) 799-0702
(508) 754-0245
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0690
MA
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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