| NPI | 1386074417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LORAINE CLEMENT Clinician 207-838-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC12223) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |