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 |