| NPI | 1265026249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE MELANSON Director Revenue Integrity 207-459-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2024-10-30 |