| NPI | 1851661516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ANN SCRIVEN Physician Sole Proprietor 207-699-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ME 013535) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2013-04-30 |