| NPI | 1235683533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISE MARIE CARRIER-PELLETIER Director 207-241-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 726134) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |