NPI | 1285685628 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI L. DWYER President & CEO 207-992-9200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-01-27 |