| NPI | 1376829598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MURPHY Executive Director 207-622-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2023-04-13 |