| NPI | 1538139001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE DAIGLE Billing Manager 207-879-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: ME 36277) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2008-05-07 |