| NPI | 1285231753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY A MEEHAN Chief Administrative Officer 207-777-1046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center Recovery Care |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |