| NPI | 1508434085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL NIMMO Program Director 207-221-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |