| NPI | 1407867583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE SIBLEY Administrator 207-262-6974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ME 20C0001007) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-02-17 |