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 |