| NPI | 1306427075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA M AGELL Social Worker 207-522-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |