| NPI | 1356676977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL BRUCE SANDSTROM Senior Vice President Finance 207-768-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |