NPI | 1053555656 |
---|---|
Other Name | MMCC 1501 |
Entity Type | Organization |
Authorized Contact | LISA BOLEN Accounting Manager 207-782-2726 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2009-04-27 |
Last Update Date | 2009-04-27 |