NPI | 1316222037 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE GRAY CEO 207-764-6825 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ME CAC5029) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2011-10-13 |