| NPI | 1063871655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY ALAN MOORE President / Owner 207-892-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ME CR1939) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |