| NPI | 1215437181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA TOLBERT Owner 207-951-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ME LC1701) |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2024-11-04 |