| NPI | 1295962694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND HATCH Executive Director 207-743-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: ME 210451) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: ME 210451) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |