| NPI | 1073886073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J WALSH Owner 207-446-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ME 010230) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |