| NPI | 1699067843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE A WHALEN Owner 207-749-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ME cr1254) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2016-02-23 |