NPI | 1144420332 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE CRUTE President/ Owner 207-772-8823 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 012111) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2008-04-20 |