| NPI | 1255492294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA VICTORY Director Of Revnue Cycle 207-861-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 221903) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-09-28 |