| NPI | 1104053867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA GRETEN-GANBERG Director Of Clinical Services 207-221-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ME LC6487) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ME AC1) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |