| NPI | 1114144813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE DENISE MARKS Office Manager 207-244-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: ME 525239) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: ME 219661) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |