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 |