| NPI | 1104415728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMAN HAJ ALKHDAIR Human Resources Coordinator 207-245-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |