| NPI | 1336374891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND R HATCH Executive Director 207-743-7035 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: ME 210451) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: ME 210451) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |