| NPI | 1164691309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA E LARIVIERE Occupational Therapist 207-490-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: ME ot1490) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |