| NPI | 1811617111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASJOT KAUR BHULLAR CEO 207-689-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-03-24 |