| NPI | 1801101993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL P MACDOUGALL Inte RN Director 207-817-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN 12011471A) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |