| NPI | 1326682774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SEMUKANYA Director Of Operations 207-518-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-03-17 |