| NPI | 1073751277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD PELKEY Administrator/Member/Owner 207-945-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME 467117) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-27 |