| NPI | 1356683981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L. DWYER President And CEO 207-992-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-04-20 |