NPI | 1083379655 |
---|---|
Other Name | CALAIS BLUE DEVIL HEALTH |
Entity Type | Organization |
Authorized Contact | CORINNE A LAPLANT CEO 207-796-5503 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-11-08 |
Last Update Date | 2021-11-08 |