| NPI | 1164963450 |
|---|---|
| Doing Business As | OCEAN AVE SCHOOL |
| Entity Type | Organization |
| Authorized Contact | ANN TUCKER CFO 207-874-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-06-09 |