| NPI | 1467468215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MORRISON CEO 207-794-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 1223G0001X Dentist, General Practice | |
| 207Q00000X Family Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-08-07 |