| NPI | 1346596483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L. CARR Provider/President/Owner 207-985-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1555) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |