NPI | 1689799504 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFERDO EDUARDO VERGARA Director, Public Health Division 207-874-8446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: ME H80CS00005-04-00) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2024-07-11 |