NPI | 1386007045 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH M MILDRUM Clinician 207-318-9403 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME MC15886) |
Enumeration Date | 2016-03-31 |
Last Update Date | 2016-03-31 |