| Organization Name: | CESC, LLC |
| NPI Number: | 1063878734 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC YETTER (PRESIDENT, BOARD OF MANAGERS) |
| Mailing Address: | 128 Bucksport Rd Suite A Ellsworth |
| State: | ME US |
| Postal Code: | 046052239 |
| Phone Number: | 2076676300 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2016 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |