| NPI | 1255526158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE MAE MARX-ADAMS Manager/Owner 207-324-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: ME LC7041) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ME LC7041) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |