| NPI | 1497343461 |
|---|---|
| Doing Business As | MH - NEW BALANCE - CENTRAL MAINE |
| Entity Type | Organization |
| Authorized Contact | RILEY WENDLING Central Support Specialist 629-266-1080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2025-04-09 |