NPI | 1124508924 |
---|---|
Entity Type | Organization |
Authorized Contact | LUGENE ANTHONY INZANA Associate CFO 207-661-1346 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: ME 37567) |
Enumeration Date | 2018-08-21 |
Last Update Date | 2025-04-01 |