| NPI | 1306071493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALYN P LOGUE Principal Financial Officer 207-541-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: ME ALLS 3248) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care (Licence: ME ALLS 3249) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2020-05-28 |