| NPI | 1043271133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL CAREW CEO 207-469-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: ME 20D0714964) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME 20D0714964) |
| 1223G0001X Dentist, General Practice (Licence: ME 20D0714964) | |
| 207Q00000X Family Medicine (Licence: ME 20D0714964) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-11-04 |