| NPI | 1063542074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M TALBOTT Executive Director 207-721-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 417157) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |