| NPI | 1104005362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MEYER President 207-871-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ME 229881) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: ME 229881) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2021-03-10 |