| NPI | 1568621654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MORRISON CEO 207-794-6700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: ME POD1016) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2018-08-03 |