| NPI | 1568838928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PELLETIER Executive Director 207-444-5973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |