NPI | 1144760257 |
---|---|
Entity Type | Organization |
Authorized Contact | RILWAN OSMAN Executive Director 207-955-4394 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 669694) |
Enumeration Date | 2017-03-08 |
Last Update Date | 2025-06-13 |