| NPI | 1073037099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORATHY MARTELL Executive Director 207-667-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ME XL-4560) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |