NPI | 1154034411 |
---|---|
Entity Type | Organization |
Authorized Contact | CORINNE A LAPLANT CEO 207-796-5503 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-01-03 |
Last Update Date | 2023-01-03 |