| NPI | 1295784486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY PEDDIE Provider/Owner 207-866-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ME 005232) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |