| NPI | 1437425212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ZAWALSKI Owner Operator 207-358-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME CNP81195) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |