| NPI | 1205193174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DANN Executive Director 1603-746-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME XL3650) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |