| NPI | 1023104825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTY HEWITT COO 207-385-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ME 36480) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-07-28 |