| NPI | 1154156461 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | MELISSA S FLEWELLING Executive Director 207-223-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |