| NPI | 1033403860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA A GRAY Executive Director 207-942-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 530640) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |