Organization Name: | PRYMCA |
NPI Number: | 1144507203 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY H. SEAVEY (INTERIM EXECUTIVE DIRECTOR) |
Mailing Address: | 48 Park St Dover Foxcroft |
State: | ME US |
Postal Code: | 044261000 |
Phone Number: | 2075647111 |
Fax Number: | 2075648791 |
NPI Enumeration Date: | 11/03/2011 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |