| NPI | 1295394229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMA MOHAMED CEO 207-344-7882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |