| NPI | 1730447749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEV MYEROWITZ Director 207-799-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 225100000X Physical Therapist | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2024-05-31 |