| 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 |