| NPI | 1356900484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA R PORTER Founder And CEO 207-216-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251B00000X Case Management |
| 261QX0200X Clinic/Center Oncology | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |