| NPI | 1881967297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE OREM-HOUGH Owner 207-233-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ME PS1136) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |