| NPI | 1457415184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE HAMILTON Executive Director 207-947-0366 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ME 220861) |
| Additional Taxonomies | 251S00000X (Licence: ME 220861) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: ME 220861) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ME 214394) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2018-06-15 |