| NPI | 1871936609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FOX CEO/Owner 207-712-8172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: ME 00977) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-09-09 |