| NPI | 1285906412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN NORMAN Family Specialist 207-989-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LS11831) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |