| NPI | 1932578259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LAURENDEAU CFO 207-324-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2016-01-19 |