| NPI | 1508346750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE BONNIE MUELLER Owner, Medical Director 207-219-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ME CNP101009) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |