| NPI | 1124834973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA M LOPEZ Volunteer Student Health Services 207-610-0127 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |