| NPI | 1255561130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DAVIS Sole Member 207-329-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC4139) |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2012-02-08 |