| NPI | 1366786410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH THIBODEAU Revenue Manager 207-878-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 494640) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-11-25 |