| NPI | 1487080958 |
|---|---|
| Doing Business As | SECOND STREET HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | COLEEN L ELIAS CEO/CFO 207-513-3897 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2020-10-22 |