NPI | 1609755701 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER A. POITRAS Chief Executive Officer 207-347-2853 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2025-09-02 |
Last Update Date | 2025-09-23 |