| NPI | 1154658524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M TORREY President 207-751-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ME LC8207) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: ME LC8207) |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: ME LC8207) | |
| 261QH0100X Clinic/Center, Health Services (Licence: ME LC8207) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: ME LC8207) | |
| 261QR1300X Clinic/Center, Rural Health (Licence: ME LC8207) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |