| NPI | 1063885036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RENEE SWETT Owner 207-479-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ME IPH46) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |