| NPI | 1447915392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN CERMELJ Owner And Director 207-408-7649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2022-03-07 |