| NPI | 1447672001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ANNE CAOUETTE Sole Memeber/Manager 207-615-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: ME OT575) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2015-05-13 |