| NPI | 1881232346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE M ESPLING Business Office Manager 207-764-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-17 |