| NPI | 1255820098 |
|---|---|
| Doing Business As | ANGEL HEART BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | AIMEE N NYIRAKANYANA Administrator 207-409-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |