| NPI | 1093238461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEMOINE President 207-590-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ME LC4689) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |