| NPI | 1063601060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN K NEGOESCU Clinical Director 207-571-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 595034) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-06-29 |