NPI | 1235700709 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE RACINE Owner 207-894-4278 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-07-06 |
Last Update Date | 2021-07-09 |