| NPI | 1386248714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA AUDINO COO 207-505-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |