| NPI | 1881184190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE WERNER Doctor/ Owner 207-389-4372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ME NP499) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |