| NPI | 1699187690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HARRY WILKINS President 207-655-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ME DO2302) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: ME PA342) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2014-05-24 |