| NPI | 1013383777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DUFFY Medical Director 207-839-9101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ME CNP151056) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |