| NPI | 1427803485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD KALUSA Director Of Administration 207-383-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |