| NPI | 1477615839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE HAMLIN Co Owner Member 207-492-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 514980) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-10-16 |