| NPI | 1154978468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON M ST. PETER Owner 207-491-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-08-03 |