NPI | 1104060045 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER FITZPATRICK Executive Director 207-282-3351 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: ME 214603,429481,216796) |
Additional Taxonomies | 251B00000X Case Management (Licence: ME 218677) |
Enumeration Date | 2009-04-22 |
Last Update Date | 2009-04-22 |