NPI | 1629348156 |
---|---|
Doing Business As | PCHC CLUBHOUSE |
Entity Type | Organization |
Authorized Contact | LORI L. DWYER President & CEO 207-992-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: ME 611003) |
Enumeration Date | 2011-12-30 |
Last Update Date | 2018-08-06 |