| NPI | 1841688942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E VAUGHAN Medical Director 207-775-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ME 38157) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2021-01-18 |