| NPI | 1396975454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A. LEAVITT Owner 207-754-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: ME 2552) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |