| NPI | 1841039583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN SEBREY Chief Operating Officer 207-542-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |