| NPI | 1265767446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL LAPIERRE Clinical Director 207-299-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ME 594362) |
| Additional Taxonomies | 251S00000X (Licence: ME 594372) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2010-01-06 |