| NPI | 1316910193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE R COGGINS President/CEO 207-872-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: ME E58728) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-11-10 |