| NPI | 1114070661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE A KENNEDY Finance Director 207-945-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 220602) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2013-12-04 |