| NPI | 1255788220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS COOKSON CEO 207-626-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 493321) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |