| NPI | 1376599381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN SHORTY Chief Operating Officer 207-791-8234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ME 36395) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-12-17 |