| NPI | 1245628478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LYNN KING Clinician 207-941-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME XL4436) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |