| NPI | 1184009128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FITZGERALD JOANETTE Operations Director 207-774-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 683146) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |