| NPI | 1568757946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY M GARTMAYER CEO 207-853-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2022-02-15 |