| NPI | 1235461716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BERGERON CEO Lcsw 207-333-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC7428) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |