| NPI | 1306582101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD QUINN President 207-975-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |