| NPI | 1063539740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND R HATCH Executive Director 207-743-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |