| NPI | 1457690166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA THEOBALD Member/Manager 207-590-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NH 0649) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |