| NPI | 1306141502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L WINSLOW Chief Executive Officer 207-368-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |