| NPI | 1104106947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE WALP Executive Director 207-879-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 623144) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |