| NPI | 1831581438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH TAINTER Insurance Liason 207-667-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ME 1299009-000000) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |