| NPI | 1164096988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E GRUNGLASSE Executive Director 207-210-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-06-01 |