| NPI | 1013451202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE ANN PETTENGILL Administrator 207-730-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: ME ADS38641) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2023-12-21 |