| NPI | 1083259410 |
|---|---|
| Doing Business As | ADULT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | LORELLE DWYER CEO 207-992-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |