| NPI | 1134439151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE D MAST Owner/Manager/Provider 207-892-5328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: ME PT677) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |