| NPI | 1114545977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DACEY BOINAIV STRATTON Medical Director 207-664-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1000X Clinic/Center, Migrant Health |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |