| NPI | 1427545961 |
|---|---|
| Former Legal Business Name | KWABENA SIAKA |
| Entity Type | Organization |
| Authorized Contact | KWABENA SIAKA Administrator 207-370-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR 16-11-25) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-02-05 |