| NPI | 1083906523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JETT Office Manager 207-594-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: ME SP2046) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |