| NPI | 1700975794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH KNIGHTON Physician / Owner 207-865-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ME 1648) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-03-07 |