| NPI | 1255708194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMPSON Sr. VP/Cmo Of Org's Sole Member 207-973-7931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |