| NPI | 1093198947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA ROY Director 207-314-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 6844134) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-09-22 |